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Major trauma CT scanning : the experience of a regional trauma centre in the UK
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Smith, Christopher Matthew, Woolrich-Burt, L., Wellings, R. M. (Richard M.) and Costa, Matthew L. (2011) Major trauma CT scanning : the experience of a regional trauma centre in the UK. Emergency Medicine Journal, Volume 28 (Number 5). pp. 378-382. doi:10.1136/emj.2009.076414 ISSN 1472-0205.
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Official URL: http://dx.doi.org/10.1136/emj.2009.076414
Abstract
Introduction Trauma remains a major cause of mortality and morbidity, particularly among young adults. A major trauma (whole-body) CT protocol based upon mechanism of injury was investigated in a busy emergency department.
Methods Trauma patients presenting in two 3-month periods before and after the introduction of a major trauma CT protocol were identified. The mechanism of injury, Injury Severity Score, radiological imaging performed and injuries detected were recorded.
Results More eligible patients received major trauma CT scanning post-protocol than pre-protocol (87/114 (76%) vs 44/94 (47%)). There were no adverse effects attributable to major trauma CT. Seventeen injuries were detected post-protocol that would not have been detected had imaging been conducted based on clinical suspicion rather than mechanism of injury. In three cases an immediate intervention was required.
Conclusion Our major trauma CT protocol, based on mechanism of injury, resulted in substantial changes in clinical management in a small number of patients without any increase in adverse events. However, it is not a substitute for clinical acumen in the initial assessment of trauma patients.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit |
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| Library of Congress Subject Headings (LCSH): | Tomography, Wounds and injuries -- Imaging, Trauma centers -- Great Britain, Trauma centers -- Case studies | ||||
| Journal or Publication Title: | Emergency Medicine Journal | ||||
| Publisher: | BMJ Group | ||||
| ISSN: | 1472-0205 | ||||
| Official Date: | 2011 | ||||
| Dates: |
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| Volume: | Volume 28 | ||||
| Number: | Number 5 | ||||
| Page Range: | pp. 378-382 | ||||
| DOI: | 10.1136/emj.2009.076414 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published |
Data sourced from Thomson Reuters' Web of Knowledge
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