We developed and implemented clinical practice guideline (CPG) using computerized tomography (CT) as the initial imaging method in the emergency department management of scaphoid fractures. We hypothesized that this CPG would decrease unnecessary immobilization and lead to earlier return to work.
Conclusion: This CPG resulted in rapid and accurate management of patients with suspected occult scaphoid injury, minimized unnecessary immobilization and was acceptable to patients.
Introducing a Clinical Practice Guideline Using Early CT in the Diagnosis of Scaphoid and Other Fractures
Steven Pincus, MBBS, BSc; Merle Weber, MBBS; Alex Meakin, MBBS; Ross Breadmore, MBBS, M Med; David Mitchell, MBBS; Luke Spencer, MBBS; Nathan Anderson; Phil Catterson, BN, MBA; Steve Farish, BSc, Med; Jaycen Cruickshank, MBBS, MCR
Western J Emerg Med. 2009;10(4):227â€“232 full text