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Emerg Radiol. 2003 Apr;10(1):3-7. doi: 10.1007/s10140-003-0269-4. Epub 2003 Mar 22.

Rings and things on upper extremity radiographs of emergency patients.

Emergency radiology

Matthew L Steinway, Mihra S Taljanovic, Tim B Hunter, Elizabeth A Krupinski, William A Grana

Affiliations

  1. Department of Radiology, University of Arizona College of Medicine, Tucson, Arizona, USA.

PMID: 15290522 DOI: 10.1007/s10140-003-0269-4

Abstract

Rings, intravenous lines, and other objects on the injured upper extremities of trauma patients are frequently overlooked by radiology and emergency department (ED) personnel. This can impair proper radiologic evaluation of the injured extremity as well as negatively affect the quality of the patient's treatment. A 1-week sample of radiographs of injured upper extremities from the ED of University Medical Center (UMC), Tucson, Arizona, showed that 20% of the studies (19 of 95) contained at least one object on the injured upper extremity, but only one radiology report (1.1%) mentioned such an object. A review of 2489 upper extremity ED radiology reports from January to June 2002 showed only 47 reports (1.9%) that mentioned the presence of an overlying object. It is important to educate radiology department and ED personnel to remove upper extremity jewelry and place necessary medical devices on noninjured extremities.

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