RADIOLOGY EDUCATION: A PILOT STUDY TO ASSESS KNOWLEDGE OF MEDICAL STUDENTS REGARDING IMAGING IN TRAUMA
AbstractBackground: Trauma remains one of the most frequent presentations in emergency departments. Imaging has established role in setting of acute trauma with ability to identify potentially fatal conditions. Adequate knowledge of health professionals regarding trauma imaging is vital for improved healthcare. In this work we try to assess knowledge of medical students regarding imaging in trauma as well as identify most effective way of imparting radiology education. Method: This cross-sectional pilot study was conducted at Aga Khan University Medical College & Khyber Girls Medical College, to assess knowledge of medical students regarding imaging protocols practiced in initial management of trauma patients. Results: Only 40 & 20 % respectively were able to identify radiographs included in trauma series. Very few had knowledge of correct indication for Focused abdominal sonography in trauma. Clinical radiology rotation was reported as best way of learning radiology. Conclusion: Change in curricula & restructuring of clinical radiology rotation structure is needed to improve knowledge regarding Trauma imaging.
Graham RN. Battlefield radiology. Br J Radiol. 2012;85(1020):1556–65.
Daffner RH. Cervical radiography in the emergency department: who, when, how extensive? J Emerg Med 1993;11(5):619–20.
Garton HJL, Hammer MR. Detection of pediatric cervical spine injury. Neurosurgery 2008;62(3):700–8.
Myint KS, French S, Williams-Johnson J, Williams E, Johnson P, Reid MO, et al. Role of routine chest radiographs in the evaluation of patients with stable blunt chest trauma: a prospective analysis. West Indian Med J 2012;61(1):64–72.
Shaukat A, Ahmad G, Anjum MN. Cervical spine trauma X-ray interpretation pictorial review. Pak J Radiol 2003;15:26–37.
Griffin XL, Pullinger R. Are diagnostic peritoneal lavage or focused abdominal sonography for trauma safe screening investigations for hemodynamically stable patients after blunt abdominal trauma? A review of the literature. J Trauma 2007;62(3):779–84.
Jansen JO, Logie JR. Diagnostic peritoneal lavage - an obituary. Br J Surg 2005;92(5):517–8.
Bode PJ, Edwards MJ, Kruit MC, Van Vugt AB. Sonography in a clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. AJR Am J Roentgenol 1999;172(4):905–11.
Hoffmann B, Nurnberg D, Westergaard MC. Focus on abnormal air: diagnostic ultrasonography for the acute abdomen. Eur J Emerg Med 2012;19(5):284–91.
Luks FI, Lemire A, St-Vil D, Di Lorenzo M, Filiatrault D, Ouimet A. Blunt abdominal trauma in children: the practical value of ultrasonography. J Trauma 1993;34(5):607–10.
McKenney KL, Nunez DB Jr, McKenney MG, Asher J, Zelnick K, Shipshak D. Sonography as the primary screening technique for blunt abdominal trauma: experience with 899 patients. AJR Am J Roentgenol 1998;170(4):979–85.
Memon N, Sheeba A, Memon K. Role of Ultrasonography & CT Scan in Blunt Abdominal Trauma (BAT). JLUMHS 2009;8(01):41–5.
Naeem M, Syed A, Razwan Q, Panazai AM, Ahmed J. Role of Ultrasonography in Blunt Abdominal Injury. Mother Child 1999;37:27–31.
Soudack M, Epelman M, Maor R, Hayari L, Shoshani G, Heyman-Reiss A, et al. Experience with focused abdominal sonography for trauma (FAST) in 313 pediatric patients. J Clin Ultrasound 2004;32(2):53–61.
Yoshii H, Sato M, Yamamoto S, Motegi M, Okusawa S, Kitano M, et al. Usefulness and limitations of ultrasonography in the initial evaluation of blunt abdominal trauma. J Trauma 1998;45(1):45–50.