The right scan, for the right patient, at the right time: the reorganization of major trauma service provision in England and its implications for radiologists.
Clin Radiol
; 68(9): 871-86, 2013 Sep.
Article
em En
| MEDLINE
| ID: mdl-23453710
ABSTRACT
Major trauma services in England are currently undergoing a radical overhaul with the formation of regional trauma networks and designated major trauma centres (MTCs). Radiology is scheduled to play a key role within major trauma care both in terms of 24/7 access to whole body computed tomography (WBCT) and interventional radiology (IR) services, as well as providing immediate expert imaging guidance to the trauma team. This review examines the rationale behind trauma networks, as well as drawing attention to the new Royal College of Radiologists' standards for major trauma imaging. It attempts to address radiologists' understandable concerns about the inappropriate use of WBCT, radiation dose, and intravenous contrast medium risks. Reporting whole-body CT for trauma patients is difficult, covering multiple body regions, with great pressure to provide a rapid and accurate report to the trauma team. The benefits of standardized reports, dual-radiologist reporting, and the use of organ injury severity grading are explored to aid succinct communication of findings and further guide patient management.
Texto completo:
1
Temas:
ECOS
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Aspectos_gerais
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Estado_mercado_regulacao
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Gestao
Bases de dados:
MEDLINE
Assunto principal:
Ferimentos e Lesões
Tipo de estudo:
Diagnostic_studies
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Guideline
Limite:
Adolescent
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Adult
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Aged
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Child
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Humans
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Clin Radiol
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Reino Unido