None listed
Conditions
Brief summary
This trial looks at the use of a focused educational learning package for paediatric emergency doctors training them in the use of ultrasound to detect forearm fractures. It will look to see if it is as sensitive and specific as the current gold standard of x-ray and also at the acceptability to patient and parent.
Interventions
Ultrasound scan (USS) will be performend in the department by an emergency doctor that has undergone the on line training package designed for this trial. It will be a single USS and should take 10-15 minutes to complete. Following routine examination and USS the patient will then go on to have an x-ray which is the current gold standard in fracture diagnosis. The ultrasound will always be performed prior to the xray (this is why children with prior imaging are excluded) to ensure that the doctor performing the scan is not biased. As it is not a drug intervention there is no "wash out" period and the xray request will be made directly after the scan is complete.
Sponsors
Study design
Eligibility
Inclusion criteria
a history of trauma to the forearm with a suspected fracture presenting to a childrens emergency department
Exclusion criteria
evidence of an open fracture (ie broken skin) previous imaging done elsewhere (ie diagnosis known)