 Hello, everyone. I'm Dr. Palash Lambert, J.R.C. from the Department of Radiogenesis, M.G.M.S. Sehwagram Varda. I'm here to present a paper on overuse of CT scan head in minor head from operations in emergency department, a study in tertiary care hospital of central rural India. CT scan is an important diagnostic tool in many emergency conditions. However, it might be overused in many healthcare systems. This might lead to a significant brain on healthcare resources. As well as increases of radiation exposure. There are many methods and criteria for evaluating the appropriateness of healthcare services. Proper decision principles cannot only decline the cost and the number of performed imaging but also decreases the emergency and radiology workforce order. Objectives are to identify a list of indications for utilization of CT scan patients with minor head trauma, and to determine the level of appropriate use of these indications for CT scan in minor head trauma patients in emergency department. Materials and methods. Problem management starts with determination of the patient GCS in the initial assessment. This can be separately correlated with severity of damage happening inside the skull. Besides, it can be measured with sufficient reliability by the healthcare provider. Therefore, GCS is widely accepted measure of severity of neurological trauma. GCS score between 3 to 12 is considered accepted in major head injury, while the score 13 to 15 is still in minor head injuries. Head CT scan in patients with minor head trauma, that is GCS of 13 to 15, was necessary only when one or more clinical risk factors were observed. At normal CT findings into the result that require neurosurgical care, it can be observational or intervention. Study settings. Hospital-based rate of CT observation study was performed. Ethical committee clearance was taken. The setting, it was done in setting of MDMS diagram work, rural medical school and tertiary healthcare center, studies updates. GCS, all patients who come to emergency department with minor head trauma, and underwent CT scan of head during the period of September 21 to September 22. Inclusion criteria, GCS score of 13 to 15, age more than three years, and minor head trauma during the past 12 hours. Study setting. Four of 18 to two individuals from both genders were recruited from September 21 to September 22. The restricted checklist was used to obtain the information from selected patients to patients with a record and patients with a scan report. Information collected in a structured performance. This is shown in this diagram. The information like age, GCS, history of unconsciousness, history of home mating, history of post-traumatic conversion, ENTP, signs of skull-based fracture, alcohol intake, open or close skull fracture, and like I've already taken. Collected data were analyzed using SPSS Volume 19 software for windows. Chiasquare and fissures, exact test was used to evaluate the statistical significance. Requantified the strength of association using the odd threshold. Results of 18 to two patients, 64 percent study subjects were made. The patients average age was 33.7 plus minus 5.2 years. Approximately 84.2 percent of city findings were normal. This is represented by this diagram. Among the study participants, 34 percent patients had no indication, and 66 percent patients had at least one indication for the city. GCS 15 and 13 were shown in this diagram. In terms of abnormal city findings, the difference between patients with GCS 4 of 13 to 14 and patients with GCS 4 of 15 was statistically significant. In case of GCS 15, normal city observed in case of 96.3 percent of patients. In case of GCS 30 and 14, normal cities can be observed in 58.5 percent of patients. At normal city head in GCS 30 to 14, can be seen in some patients, and this can be seen in the form of EDH, SDH, SAH, cerebral contusions, skull fractures, or diffuse cerebral edema. This is shown in this diagram. The first diagram is showing the SDH with midline shift. Second diagram showing large EDH. Third diagram showing SAH, while the fourth diagram showing the skull fracture. This is also depicted in the form of bar diagram, and shown with respect to age, unconsciousness, vomiting, convulsion, ENTB, alcohol intoxication like that, and without indication. The proportion of cases making criteria for city for each of the guidelines was CCHR 64.7 percent, NICH 86.7 percent, and NOC 90.5 percent. The authors of the guidelines for predicting cost-to-height city findings were also reported. This is the bar diagram, which shows the city head finding in case of CCHR, NIC, and NOC criteria. Variation with duty timing. As compared to daytime, the number of normal city findings are more in night-time minor head trauma patients, and this is depicted in the bar diagram. Variation with the specialty. The majority of cities were requested by CMO, followed by Surgery GR1, Surgery SR consultants, and ENT specialists. A comparison between CMO and Surgery ENT specialists would order city shows that CMO orders city in minor head trauma patients 2.5 times more than surgeons and ENT specialists. This is shown in this bar diagram, the various faculties ordering city, and what the findings of city in that case. Moreover, the presence of two indications, including vomiting and suspected skull fracture, were significantly correlated with abnormal city findings. Our findings were in line with the findings of the study. This session, 34% of the cities obtained in emergency department for minor head trauma were not recommended according to the guidelines. Successful implementation of existing guidelines would decrease the city use in minor head trauma patients by up to 35%, leading to a significant reduction in radiation induced cancers and health care costs. How to overcome this? Provide more senior faculty in night shift, properly follow the guidelines given, train the CMO and junior doctors to make proper decision for city aid in minor head trauma patients and use a lot of principles. Thank you.