Dual-room twin-CT scanner in multiple trauma care: first results after implementation in a level one trauma centre.
Eur J Trauma Emerg Surg
; 47(6): 1847-1852, 2021 Dec.
Article
en En
| MEDLINE
| ID: mdl-32335685
ABSTRACT
PURPOSE:
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.METHODS:
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.RESULTS:
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.CONCLUSION:
The twin-CT technology is a fascinating tool to organize high-quality trauma care for two multiple trauma patients simultaneously.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Centros Traumatológicos
/
Traumatismo Múltiple
Tipo de estudio:
Guideline
/
Observational_studies
Límite:
Humans
Idioma:
En
Revista:
Eur J Trauma Emerg Surg
Año:
2021
Tipo del documento:
Article
País de afiliación:
Alemania