A new system for digital image acquisition, storage and presentation in anaccident and emergency department

Objectives-To develop a computer based storage system for clinical images-r adiographs, photographs, ECGs, text-for use in teaching, training, referenc e and research within an accident and emergency (A&E) department. Explorati on of methods to access and utilise the data stored in the archive. Methods-Implementation of a digital image archive using flatbed scanner and digital camera as capture devices. A sophisticated coding system based on ICD 10. Storage via an "intelligent" custom interface. Results-A practical solution to the problems of clinical image storage for teaching purposes. Conclusions-We have successfully developed a digital image capture and stor age system, which provides an excellent teaching facility for a busy A&E de partment. We have revolutionised the practice of the "hand-over meeting".