title: Plain ABDO X-rays: a waste of time?
abstract: Plain abdominal radiographs are commonly requested for acute medical emergencies on patients with non-specific abdominal symptoms and signs. In this study, 131 plain abdominal radiographs performed on the day of admission were prospectively analysed by the research team. In only 16 cases (12 per cent) the reasons for requests conformed to the recommended guidelines by the Royal College of Radiologists. The reason for the request was stated in the case notes in only three cases. In 62 cases (47 per cent), there was no comment made on the film by the requesting clinician. There was a discrepancy in the interpretation of the radiograph between the clinician and the radiologist in 31 cases (24 per cent). The clinical management was influenced by plain abdominal radiographs in only nine cases (7 per cent). The researchers argue that most plain abdominal radiographs requested on acute medical emergencies are inappropriate. They suggest there is a need to ensure guidelines are followed to prevent unnecessary exposure of patients to radiation as well as preventing expenditure on irrelevant investigations.