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  Vol. 270 No. 6, August 11, 1993 TABLE OF CONTENTS
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Clinical Decision Making: Broadening the Responsibilities of Practitioners

Christopher F. Ryan, MD
Wellesley Hills, Mass

JAMA. 1993;270(6):709-710.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In his article,1 Eddy talks an imaginary radiologist through his resistance to guidelines limiting the use of an intravenous contrast agent, mandating a less safe alternative where the absence of risky factors make the latter's life-threatening side effect less likely. I offer the following imaginary conversation in reply. The speakers are a bike salesman (BS) and a composite father (DAD) buying a first bicycle helmet for his young son. All characters, incidents, and technologies are purely fictitious, and any resemblance to real people or events, and so on and so forth:

DAD: These helmets seem less substantial than I recall them in my day.

BS: Yes, sir, the new plastics are less dense than the old ones, but they actually save more lives!

DAD: Really! Technology is a marvelous thing. So, these exceed the old standards for impact resistance, or whatever they call it?

BS: No, . . . [Full Text PDF of this Article]



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