title: Delayed diagnosis of injuries from the M1 aircraft accident. The Nottingham, Leicester, Derby, Belfast Study Group.
abstract: The incidence of a delay in the diagnosis of injuries from the 83 survivors of the M1 aircraft accident is described. A total of 32 injuries in 25 patients were not initially diagnosed, nine each in the upper and lower limbs and 14 in the spine. This was equivalent to 9.6 per cent of all the major injuries suffered by the survivors. Five patients required surgery for a late diagnosed injury. The incidence of a delayed diagnosis injury (DDI) was not related to the overall severity of injury. Delay in diagnosis of injuries after such a major accident was attributable to failure of clinical examination, failure to radiograph symptomatic areas and failure of radiographic interpretation.
authors.affiliation: Department of Orthopaedic Surgery, Queen's University of Belfast, UK.
authors.forename: G R
authors.initials: GR
authors.lastname: Tait
authors.forename: J M
authors.initials: JM
authors.lastname: Rowles
authors.forename: G
authors.initials: G
authors.lastname: Kirsh
authors.forename: J P
authors.initials: JP
authors.lastname: Martindale
authors.forename: D J
authors.initials: DJ
authors.lastname: Learmonth
mesh_terms: D000060:Accidents, Aviation; D000328:Adult; D004632:Emergency Medical Services / Q000592:standards; D004636:Emergency Service, Hospital / Q000592:standards; D005260:Female; D050723:Fractures, Bone / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D009985:Orthopedics / Q000592:standards; D011787:Quality of Health Care; D011859:Radiography; D013997:Time Factors