title: Emergency radiology in Canada: a national survey.
abstract: OBJECTIVE
  To document the existing radiology services available to emergency physicians in hospitals across Canada and to preview future trends and needs.
  
  
  METHODS
  Questionnaires (n = 130) regarding the type, availability and satisfaction with radiology services were distributed to radiologists and emergency physicians at 65 hospitals across Canada.
  
  
  RESULTS
  Fifty-three (41%) questionnaires were returned, and 45 (35%) completed questionnaires from 35 hospitals were used for analysis (24 from radiologists and 21 from emergency physicians). Plain radiographs were available in all hospitals at all times. Ultrasonography, intravenous pyleograms and computed tomography (CT) were available in all departments during normal working hours; after hours, CT was unavailable in 1 hospital and ultrasonography was unavailable in 2. Focused assessment with sonography for trauma (FAST) was routinely performed for blunt abdominal trauma in 6 centres, and 10 centres had teleradiology services. Regarding the quality of emergency service, 7 of 45 responded "poor," 4 "average," 14 "good," and 17 of 45 rated service "excellent." Interestingly, most radiologists answered "good" or "excellent," and most of the "poor" responses came from emergency physicians. Regarding staff coverage after 5 pm, 34 hospitals provided CT services, 20 had ultrasonography staff available, and there was radiology nursing coverage in 14 hospitals. Clinical details on requisitions were generally rated "adequate" or "poor." Although most radiograph reports were available within 48 hours, some took longer. Hot-seat reporting was available in 11 centres. During normal working hours, radiologists were the first to read films in 5 of 35 hospitals. After hours, emergency physicians were the first to read films in all hospitals, but only 14 hospitals indicated they were "formally" trained to do so.
  
  
  CONCLUSIONS
  This survey documents the strengths and weaknesses of the radiology services available to emergency physicians. The perceptions of emergency physicians and radiologists of the adequacy those services differ significantly.
authors.affiliation: Abdominal Division, Vancouver General Hospital, Vancouver, BC.
authors.forename: William C
authors.initials: WC
authors.lastname: Torreggiani
authors.forename: Savvas
authors.initials: S
authors.lastname: Nicolaou
authors.forename: Iain D
authors.initials: ID
authors.lastname: Lyburn
authors.forename: Alison C
authors.initials: AC
authors.lastname: Harris
authors.forename: Anne R
authors.initials: AR
authors.lastname: Buckley
mesh_terms: D002170:Canada; D004632:Emergency Medical Services / Q000600:supply & distribution*; D019538:Health Care Surveys; D011872:Radiology Department, Hospital / Q000600:supply & distribution*; D011795:Surveys and Questionnaires; D000078329:Workforce