ROUTINE X-RAYS IN NASAL TRAUMA - THE INFLUENCE OF AUDIT ON CLINICAL-PRACTICE

The introduction of treatment protocols require audited prospective da ta. The use of X-rays in patients with simple nasal trauma is common b ut of limited value. A prospective audit of this practice and the impl ications of introducing a 'no X-ray' policy for these patients into th e local casualty department are presented. Patients are spared radiati on exposure and there are savings in patient throughput time and depar tmental costs. Casualty departments which have not already adopted suc h a policy are urged to do so. Where such a protocol is in use, audit to ensure adherence is encouraged.