Foley catheter haemostasis for penetrating cardiac wounds: the need for caution.

Abstract

clinical skill can match CAD accuracy rates stressing the importance of continuing clinical teaching and supervision of junior doctors. CAD does provide an ongoing database which would help medical audit as has been rightly stressed. However, the general advocacy of use of CAD for diagnostic purposes in the busy A&E department would not only be time consuming, leading to increased patient waiting time, an important factor determining patient satisfaction, (Maitra & Chickhani, 1992) but would also not be cost effective (not improving patient care because the diagnostic accuracy rate is low).