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Title of Journal: Radiol med

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Abbravation: La radiologia medica

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Springer Milan

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DOI

10.1007/s10493-007-9072-3

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1826-6983

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Emergency radiology without the radiologist the f

Authors: M Di Paolo B Guidi E Picano D Caramella
Publish Date: 2009/03/25
Volume: 114, Issue: 3, Pages: 475-483
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Abstract

Two patients underwent autopsy after unexpected death following road accidents In one case death was caused by multiple cervical fractures following minor neck injury in the presence of diffuse idiopathic skeletal hyperostosis In the other case death was due to delayed isthmic aortic rupture occurring after thoracic blunt trauma in a young adult Both conditions were diagnosed at autopsy onlyIn both cases the lethal outcome was due to the failure to obtain radiological reports of the Xrays performed in the emergency department Radiological diagnoses could have been established by activating the teleradiology service which according to the hospitals’ teleradiology protocols is available on demand in cases of emergency only as selected by the physician requesting the serviceSono descritte le risultanze dell’indagine autoptica eseguita su due soggetti deceduti in maniera inattesa dopo incidente della strada In un caso la morte è dipesa da fratture cervicali multiple determinatesi in soggetto affetto da DISH iperostosi scheletrica idiopatica diffusa per un trauma minore del collo Nel secondo caso un giovane adulto riportava una contusione del torace con “rottura in due tempi” dell’istmo aortico Entrambe le patologie traumatiche sono state diagnosticate solo in sede di esame autopticoLa mancata diagnosi in vita ha tratto origine in entrambi i casi dalla “non refertazione” degli esami radiologici eseguiti in urgenza la diagnosi radiologica avrebbe potuto effettuarsi mediante attivazione del sistema di teleradiologia utilizzabile secondo il protocollo gestionale della struttura solo in casi urgenti selezionati dal medico richiedente la prestazione

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