Here is a primary survey X-ray done on a patient in their early teens. Request form states; “pedestrian vs car.”
What do you think?
It’s traditionally been done as part of the primary survey series (this one is normal by the way) – designed to identify life-threatening injuries that need action. This predates the easy availability of CT. In someone with a binder on who is stable, what would the PXR add? In specific circumstances it’s really useful: if you have a really sick patient (probably in need of theatre immediately) and you want to know whether pelvis or abdomen is the most likely culprit, do a PXR and a FAST scan. Hence in our Traumatic Cardiac Arrest algorithm (see below) the PXR has clear value.
The Derrifoam Blog
Welcome to the Derrifoam blog - interesting pictures, numbers, pitfalls and learning points from the last few weeks. Qualityish CPD made quick and easy.....