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This observational study aimed to determine the cost implication for a typical size district general hospital (DGH) adopting the recently published NICE head injury (HI) management guidelines.1 The author reviewed the records of all patients (4688) attending York District Hospital emergency department (60 000 new patients/year) in April 2003 to identify those patients who had suffered a head injury (393). April was chosen because it represented an average month both for attendances and skull radiograph and CT head scan requests. Data were collected from a combination of the triage nurse assessment and the doctor’s notes, followed by retrospective application of the NICE HI guidelines.
Adherence to the guidelines …