BACKGROUND
In 2011, it was noted in a London DGH that many AXRs
RCR guidelines for plain abdominal radiography
requested by the Emergency Department were not
indicated according to RCR iRefer guidelines. • Clinical suspicion of perforation or obstruction
• Acute exacerbation of inflammatory bowel disease
• Palpable mass (specific circumstances)
• Constipation (specific circumstances)
• Acute and chronic pancreatitis
STANDARD • Constipation (specific circumstances)
• Sharp/poisonous foreign body
100% of AXR to meet iRefer guidelines
• Smooth and small foreign body, e.g., coin (specific
circumstances)
• Blunt or stab abdominal injury
59% 100%