Childhood head injuries and the skull roentgenogram

L. E. Swischuk

Research output: Contribution to journalArticle

Abstract

The skull roentgenogram has become a routine screen in cases of head injury. The medicolegal aspects of head injury are the major stumbling block to the widespread application of criteria mentioned in this article. Most physicians can work within the framework suggested by these criteria, but it is when one feels that even though clinical examination suggests that skull roentgenograms are not required, the threat of medicolegal complications is so great that one should obtain these studies as a screen or cover. The current problems of rising malpractice insurance costs, the fear of the overzealous attorney, and the fear of having one's practice and life irreparably damaged by a large lawsuit play a big part in one's adoption of such an attitude. Clearly, this is not a laudable situation, but at the moment it is not so much one of choice as one of necessity. In many ways it is reminiscent of the problem experienced in previous years with the diagnosis and reporting of suspected battered children. The answer to that problem, because of the legal ramifications, was in the passage of appropriate legislation. It may be that this is where the solution lies with head injury and the skull roentgenogram. Otherwise, one should expect a continued less than sensible use of the skull roentgenogram in cases of childhood head injury.

Original languageEnglish (US)
Pages (from-to)10-27
Number of pages18
JournalPediatric Annals
Volume4
Issue number12
StatePublished - 1975

Fingerprint

Craniocerebral Trauma
Skull
Fear
Lawyers
Malpractice
Insurance
Legislation
Physicians
Costs and Cost Analysis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Childhood head injuries and the skull roentgenogram. / Swischuk, L. E.

In: Pediatric Annals, Vol. 4, No. 12, 1975, p. 10-27.

Research output: Contribution to journalArticle

Swischuk, LE 1975, 'Childhood head injuries and the skull roentgenogram', Pediatric Annals, vol. 4, no. 12, pp. 10-27.
Swischuk, L. E. / Childhood head injuries and the skull roentgenogram. In: Pediatric Annals. 1975 ; Vol. 4, No. 12. pp. 10-27.
@article{87011e2a3c424040af3d6d5133e70875,
title = "Childhood head injuries and the skull roentgenogram",
abstract = "The skull roentgenogram has become a routine screen in cases of head injury. The medicolegal aspects of head injury are the major stumbling block to the widespread application of criteria mentioned in this article. Most physicians can work within the framework suggested by these criteria, but it is when one feels that even though clinical examination suggests that skull roentgenograms are not required, the threat of medicolegal complications is so great that one should obtain these studies as a screen or cover. The current problems of rising malpractice insurance costs, the fear of the overzealous attorney, and the fear of having one's practice and life irreparably damaged by a large lawsuit play a big part in one's adoption of such an attitude. Clearly, this is not a laudable situation, but at the moment it is not so much one of choice as one of necessity. In many ways it is reminiscent of the problem experienced in previous years with the diagnosis and reporting of suspected battered children. The answer to that problem, because of the legal ramifications, was in the passage of appropriate legislation. It may be that this is where the solution lies with head injury and the skull roentgenogram. Otherwise, one should expect a continued less than sensible use of the skull roentgenogram in cases of childhood head injury.",
author = "Swischuk, {L. E.}",
year = "1975",
language = "English (US)",
volume = "4",
pages = "10--27",
journal = "Pediatric Annals",
issn = "0090-4481",
publisher = "Slack Incorporated",
number = "12",

}

TY - JOUR

T1 - Childhood head injuries and the skull roentgenogram

AU - Swischuk, L. E.

PY - 1975

Y1 - 1975

N2 - The skull roentgenogram has become a routine screen in cases of head injury. The medicolegal aspects of head injury are the major stumbling block to the widespread application of criteria mentioned in this article. Most physicians can work within the framework suggested by these criteria, but it is when one feels that even though clinical examination suggests that skull roentgenograms are not required, the threat of medicolegal complications is so great that one should obtain these studies as a screen or cover. The current problems of rising malpractice insurance costs, the fear of the overzealous attorney, and the fear of having one's practice and life irreparably damaged by a large lawsuit play a big part in one's adoption of such an attitude. Clearly, this is not a laudable situation, but at the moment it is not so much one of choice as one of necessity. In many ways it is reminiscent of the problem experienced in previous years with the diagnosis and reporting of suspected battered children. The answer to that problem, because of the legal ramifications, was in the passage of appropriate legislation. It may be that this is where the solution lies with head injury and the skull roentgenogram. Otherwise, one should expect a continued less than sensible use of the skull roentgenogram in cases of childhood head injury.

AB - The skull roentgenogram has become a routine screen in cases of head injury. The medicolegal aspects of head injury are the major stumbling block to the widespread application of criteria mentioned in this article. Most physicians can work within the framework suggested by these criteria, but it is when one feels that even though clinical examination suggests that skull roentgenograms are not required, the threat of medicolegal complications is so great that one should obtain these studies as a screen or cover. The current problems of rising malpractice insurance costs, the fear of the overzealous attorney, and the fear of having one's practice and life irreparably damaged by a large lawsuit play a big part in one's adoption of such an attitude. Clearly, this is not a laudable situation, but at the moment it is not so much one of choice as one of necessity. In many ways it is reminiscent of the problem experienced in previous years with the diagnosis and reporting of suspected battered children. The answer to that problem, because of the legal ramifications, was in the passage of appropriate legislation. It may be that this is where the solution lies with head injury and the skull roentgenogram. Otherwise, one should expect a continued less than sensible use of the skull roentgenogram in cases of childhood head injury.

UR - http://www.scopus.com/inward/record.url?scp=0016730525&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0016730525&partnerID=8YFLogxK

M3 - Article

VL - 4

SP - 10

EP - 27

JO - Pediatric Annals

JF - Pediatric Annals

SN - 0090-4481

IS - 12

ER -