• Revue médicale suisse · Aug 2010

    [When should a patient with musculoskeletal trauma be referred to emergency ward?].

    • Adam-Scott Feiner and Henri Duruz.
    • Service des urgences, CHUV, 1011 Lausanne. Adam-Scott.Feiner@chuv.ch
    • Rev Med Suisse. 2010 Aug 25;6(259):1550, 1552-4.

    AbstractStandardized clinical examination can obviate the need for osteoarticular radiographs for trauma. This paper summarizes a number of decision rules that allow clinical exclusion of significant fracture of the cervical spine, elbow, knee or ankle, making radiographs unnecessary. These criteria were all derived from large cohort studies (Nexus, Ottawa, CCS, etc..., and have been prospectively validated. The rigorous use of these criteria in daily practice improves treatment times and costs with no adverse effect on treatment quality.

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