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The NICE guidelines for the management of head injury: the view from a district hospital
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    NICE head injuries guidelines - expensive? Yes, but what are the alternatives?

    Dear Editor

    I read with some surprise Dr Leaman's article on the impact of the NICE guidelines on a district general hospital.[1] I am truly confused at the level of anxiety this topic is causing in the UK. In most other developed countries, the use of skull x-rays have long been abandoned in favour of selected use of CT scans in patients with head injuries.

    While I appreciate the increased resource implic...

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    Conflict of Interest:
    None declared.