救急医療のためのＣＴ適正利用：ＮＣＲＰｓワークショップ

救急部門でのＣＴの乱用が問題になっており、他検査使用でＣＴ使用回数減少するよう努力し、推奨プロトコールなどを利用共有化し過剰使用通達すること、ＣＴや画像検査の回数・放射線量記録を行うこと、また、治療・アウトカム改善ベネフィットに着眼したエビデンスに基づくＣＴ画像診に関するガイドライン開発することなどが議論されている


救急医療のためのＣＴ適正利用　National Council on Radiation Protection's (NCRPs) ワークショップ

Summary of Workshop on CT in Emergency Medicine: Ensuring Appropriate Use
Journal of the American College of Radiology Volume 8, Issue 5 , Pages 325-329, May 2011

推奨

・　Educate health care providers and others of the status and appropriate applications of CT scanning in emergency medicine and acute care.

・Promote processes and skills to reduce the need for CT imaging when possible, such as the use of traditional radiography, ultrasound and emergency point-of-care ultrasound.

・　Communicate concerns on the overutilization of CT to hospitals, together with recommended collaborative protocols to reduce variability in CT scanning utilization in emergency medicine.

・　Develop mechanisms for reliable recording for emergency medicine patients of the number and doses received in CT scans and other imaging procedures.

・　Develop evidence-based guidelines that address the benefits of CT imaging in emergency medicine, including improvements in patient treatments and outcomes.