Dual-room twin-CT scanner in multiple trauma care: first results after implementation in a level one trauma centre.
Dual-room whole-body CT
Resuscitation time
Trauma centre
Trauma management
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
16
01
2020
accepted:
10
04
2020
pubmed:
27
4
2020
medline:
15
12
2021
entrez:
27
4
2020
Statut:
ppublish
Résumé
The trauma centre of the Wuerzburg University Hospital has integrated a pioneering dual-room twin-CT scanner in a multiple trauma pathway. For concurrent treatment of two trauma patients, two carbon CT examination and intervention tables are positioned head to head with one sliding CT-Gantry in the middle. The focus of this study is the process of trauma care with the time to CT (tCT) and the time to operation (tOR) as quality indicator. All patients with suspected multiple trauma, who required emergency surgery and who were initially diagnosed by the CT trauma protocol between 05/2018 and 12/2018 were included. Data relating to time spans (tCT and tOR), severity of injury and outcome was obtained. 110 of the 589 screened trauma patients had surgery immediately after finishing primary assessment in the ER. The ISS was 17 (9-34) (median and interquartile range, IQR). tCT was 15 (11-19) minutes (median and IQR) and tOR was 96.5 (75-119) minutes (median and IQR). In the first 30 days, seven patients died (6.4%) including two within the first 24 h (2%). There were two ICU days (1-6) (median and IQR) and one (0-1) (median and IQR) ventilator day. The twin-CT technology is a fascinating tool to organize high-quality trauma care for two multiple trauma patients simultaneously.
Identifiants
pubmed: 32335685
doi: 10.1007/s00068-020-01374-5
pii: 10.1007/s00068-020-01374-5
pmc: PMC7223892
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1847-1852Informations de copyright
© 2020. The Author(s).
Références
Crit Care. 2013 Aug 27;17(4):R178
pubmed: 24025196
World J Emerg Surg. 2018 Mar 27;13:16
pubmed: 29599816
Eur J Trauma Emerg Surg. 2018 Oct;44(5):759-766
pubmed: 29101416
PLoS One. 2013 Jul 24;8(7):e68880
pubmed: 23894365
J Trauma. 2008 May;64(5):1320-6
pubmed: 18469657
J Trauma. 2009 Mar;66(3):658-65
pubmed: 19276734
Scand J Trauma Resusc Emerg Med. 2017 Aug 15;25(1):82
pubmed: 28810921
Br J Anaesth. 2014 Aug;113(2):234-41
pubmed: 25038155
Eur J Trauma Emerg Surg. 2018 Apr;44(Suppl 1):3-271
pubmed: 29654333
Crit Care. 2019 Mar 27;23(1):98
pubmed: 30917843
Eur J Radiol. 2015 Jan;84(1):117-122
pubmed: 25467230
Scand J Trauma Resusc Emerg Med. 2018 Mar 5;26(1):17
pubmed: 29506552
J Trauma. 2002 Mar;52(3):420-5
pubmed: 11901314
Lancet. 2009 Apr 25;373(9673):1455-61
pubmed: 19321199
Injury. 2014 Oct;45 Suppl 3:S76-82
pubmed: 25284240
J Trauma. 2007 Mar;62(3):584-91
pubmed: 17414332
Curr Opin Crit Care. 2018 Feb;24(1):55-61
pubmed: 29140964
Am J Emerg Med. 2007 Nov;25(9):1057-62
pubmed: 18022502
Emerg Med J. 2011 Apr;28(4):300-4
pubmed: 20659885
Lancet. 2016 Aug 13;388(10045):636-8
pubmed: 27371186
Eur J Radiol. 2011 Nov;80(2):504-9
pubmed: 20227215