Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Total-body digital X-ray in trauma. An experience report on the first operational full body scanner in Europe and its possible role in ATLS
Injury, Volume 39, No. 5, Year 2008
Notification
URL copied to clipboard!
Description
When patients enter our emergency room with suspected multiple injuries, Statscan provides a full body anterior and lateral image for initial diagnosis, and then zooms in on specific smaller areas for a more detailed evaluation. In order to examine the possible role of Statscan in the management of multiply injured patients we implemented a modified ATLS® algorithm, where X-ray of C-spine, chest and pelvis have been replaced by single-total a.p./lat. body radiograph. Between 15 October 2006 and 1 February 2007 143 trauma patients (mean ISS 15+/-14 (3-75)) were included. We compared the time in resuscitation room to 650 patients (mean ISS 14+/-14 (3-75)) which were treated between 1 January 2002 and 1 January 2004 according to conventional ATLS protocol. The total-body scanning time was 3.5 min (3-6 min) compared to 25.7 (8-48 min) for conventional X-rays, The total ER time was unchanged 28.7 min (13-58 min) compared to 29.1 min (15-65 min) using conventional plain radiography. In 116/143 patients additional CT scans were necessary. In 98/116 full body trauma CT scans were performed. In 18/116 patients selective CT scans were ordered based on Statscan findings. In 43/143 additional conventional X-rays had to be performed, mainly due to inadequate a.p. views of fractured bones. All radiographs were transmitted over the hospital network (Picture Archiving and Communication System, PACS) for immediate simultaneous viewing at different places. The rapid availability of images for interpretation because of their digital nature and the reduced need for repeat exposures because of faulty radiography are also felt to be strengths. © 2007 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Exadaktylos, Aristomenis Konstantinos
Switzerland, Bern
University Hospital Bern
Benneker, Lorin Michael
Switzerland, Bern
University Hospital Bern
Jeger, V.
Switzerland, Bern
University Hospital Bern
Martinolli, L.
Switzerland, Bern
University Hospital Bern
Bonél, Harald Marcel
Switzerland, Bern
University Hospital Bern
Eggli, S.
Switzerland, Bern
University Hospital Bern
Potgieter, Herman
South Africa, Cape Town
University of Cape Town
Zimmermann, Heinz
Switzerland, Bern
University Hospital Bern
Statistics
Citations: 47
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1016/j.injury.2007.10.019
ISSN:
00201383
Research Areas
Health System And Policy
Violence And Injury