X-rays Trauma Request's by the Triage And Intake Nurse Intake and Referral Nurse:

The number of consultations in emergency departments is increasing day by day, and the time to treat patients is getting longer. Different French studies have shown a significant reduction in the time spent in the emergency department after the implementation of the national protocol for the delegation of early radiography prescriptions. The investigators hypothesised that an early request for a standard X-ray by the intake and referral nurse in the case of isolated trauma to the extremities of a limb (from the knee to the toes and from the shoulder to the fingers) enables a reduction in medical management time and, consequently, in the time spent in the emergency department for the patient.

Inclusion Criteria:Patient older than 15 years and 3 months admitted in adult emergency department of regional hospital center of ORLEANS with a simple and isolated trauma having occurred less than 48 hours prior to admission of a limb extremity (from the knee to the toes or from the shoulder to the fingers), and with no previous imagery assessment within 48 hours prior to admission in the emergency department.Exclusion Criteria:Multiple traumaPatient with at least one Vittel criteria (except age)Patient refusing the protocolHemodynamic instability and/or disorder of consciousnessSensory and/or vascular disorders downstream of the traumatized areaProtected population (under guardianship or curators)Patient under court protectionPregnant or breastfeeding woman or one who declares herself to be pregnant or breastfeedingPatient with an expired blood alcohol level > 0.4 mg/L and/or positive blood alcohol levelPatient with diagnosed dementiaPatient hospitalized after being taken in charge