CT indication

Phone Calls

Duration

Advice

Site of Scan

Time to CT

CT Result

Seizure in A&E

1. Neuro Reg

10 mins

Accept for urgent transfer

Neurosurgery centre

3 hours

Normal

Progressive Hemiparesis, on warfarin

1. Neuro Reg

20 mins

Get a CT locally, reverse coagulopathy

Neurosurgery centre

8.5 hours

Cerebral contusions

2. Radiologist, other DGH

20 mins

No Service

3. Radiologist, local

10 mins

No service

4. Neuro Reg

10 mins

Accept for transfer (after 30 min delay to d/w senior)

Clinical BSF, Fracture on plain X-ray

1. Neuro Reg

10 mins

CT indicated. Get done locally

Nearby DGH

32.5 hours

Normal

2. Radiologist, local

10 mins

No service.  Will do non-urgently.

Clinical BSF, dysdiadocokinesis, warfarinised

1. Neuro Reg

20 mins

CT indicated.  Get done locally

Nearby DGH

8 Days

Normal

2. Radiologist, local

10 mins

No service. Will do as out patient

Clinical BSF, fracture on plain X-Ray.

1. Neuro Reg

20 mins

CT indicated.  Get done locally

Nearby DGH

6 days

Normal

2. Radiologist

20 mins

No Service

3. Medical Director

20 mins

No Service

Clinical BSF

1. Radiologist

10 mins

CT indicated.  Will do non – urgently

Nearby DGH

9.5 hours

Normal

Clinical BSF

1. Radiologist

10 mins

CT indicated.  Will do non – urgently

Nearby DGH

73 hours

Normal

Clinical BSF

1. Radiologist

15 mins

CT indicated.  Will do as out patient

Nearby DGH

7 days

Normal

Persistent Confusion

1. Radiologist

10 mins

CT indicated.  Will do non – urgently

Nearby DGH

71 hours

Normal