CT scans and the ER

Who’s responsible for the overuse of CT scans in the ER? GruntDoc says the blame should be spread around:

Want to admit a patient with pancreatitis to the Internal Medicine service? “What’s the CT show?” is the admitting teams’ question. Us: Didn’t get one; had it before, has it again, patient states it feels just like their last pancreatitis flare-up. “Get a CT and call me back” is the usual refrain, and another ED doc gets dinged for an’unnecessary CT’, and the admitting team can cluck about the number of scans ordered in the ED. It’s not only the ED docs who are responsible for increased use of scans.

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