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Student Education

Tips on… How to spot a skull fracture

BMJ 2004; 329 doi: (Published 01 November 2004) Cite this as: BMJ 2004;329:0411407b
  1. John Baker, accident and emergency specialist registrar1
  1. 1Chelsea and Westminster Hospital, London

The days of inexperienced officers in the emergency department staring blindly at skull x rays are over. In the UK, we now have a clear set of evidenced based guidelines to follow.

  1. With the availability of computerised tomography, and a new set of guidelines from the National Institute for Clinical Excellence (NICE), most emergency departments in the United Kingdom do not now routinely x ray skulls after head injuries.

  2. Skull x rays were used in …

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