@article{ref1,
title="Nice head injury guidelines--expensive? Yes, but what are the alternatives?",
journal="Emergency medicine journal",
year="2006",
author="Sammy, I.",
volume="23",
number="2",
pages="160-160",
abstract="Letter: I read with some surprise Dr Leaman's article on the impact of the National Institute for Clinical Excellence (NICE) guidelines on a district general hospital. I am truly confused at the level of anxiety this topic is causing in the UK. In most other developed countries, the use of skull <i>x</i> rays has long been abandoned in favour of the selected use of computed tomography (CT) scans in patients with head injuries. Although I appreciate the increased resource implications inherent in the implementation of these guidelines, I really do not see a viable alternative, apart from reliance on an outdated mode of investigation (skull <i>x</i> ray) in what should be a first world setting. In our paediatric department, we started relying on a modified version of the American Academy of Pediatrics guidelines in 2001. (Continues...)",
language="",
issn="1472-0205",
doi="10.1136/emj.2005.024430",
url="http://dx.doi.org/10.1136/emj.2005.024430"
}