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Pediatric Radiology

, Volume 38, Supplement 4, pp 645–650 | Cite as

Standards for clinical evaluation and documentation by the emergency medicine provider

  • Steven M. SelbstEmail author
ALARA: BUILDING BRIDGES BETWEEN RADIOLOGY AND EMERGENCY MEDICINE

Abstract

Pediatric emergency medicine is full of challenges. When a pediatric patient has a poor outcome after treatment in an emergency department (ED), a malpractice lawsuit is likely to result. Pediatric emergency medicine (PEM) physicians might sometimes alter their medical care and practice “defensive medicine” in hopes of avoiding a malpractice lawsuit. Radiographs and other diagnostic studies might be ordered without true indications to “completely rule out” a diagnosis. This can result in excess radiation for a child. On the other hand, failure to order the appropriate study or misinterpretation of a radiographic study by a radiologist or an emergency physician can result in a malpractice lawsuit. PEM physicians must work cooperatively with radiologists to improve the care for children in the ED. Together these specialists can decide on appropriate studies for children in the ED, keep radiation exposure to a minimum and ensure proper management based on these studies.

Keywords

Malpractice Standard of care Pediatric emergency medicine Radiology Consultation 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Jefferson Medical CollegeThomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Division of Emergency MedicineA.I. duPont Hospital for ChildrenWilmingtonUSA

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