Old Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients?
Sears BW, Luchette FA, Esposito TJ, Dickson EL, Grant M, Santaniello JM, Jodlowski CR, Davis KA, Poulakidas SJ, Gamelli RL. Old Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients? Journal Of Trauma And Acute Care Surgery 2005, 59: 324-332. PMID: 16294071, DOI: 10.1097/01.ta.0000179450.01434.90.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAdolescentAdultAgedAged, 80 and overChild, PreschoolClinical CompetenceClinical ProtocolsDecision MakingFemaleHumansInfantJudgmentMaleMediastinumMiddle AgedProspective StudiesRadiography, ThoracicRib FracturesSensitivity and SpecificityThoracic InjuriesWounds and InjuriesConceptsChest X-rayClinical indicatorsTrauma surgeonsTwelve-month study periodNegative predictive valueSelective policyAbnormal findingsCXR abnormalitiesCXR resultsTrauma patientsThoracic injuriesHistory suggestiveClinical indicationsLevel IPatientsClinician judgmentPredictive valueClinical judgmentBlunt forceSurgical judgmentStudy periodATLS coursePotential injuryConfidence intervalsInjury