Assessment of a New Trauma Workflow Concept Implementing a Sliding CT Scanner in the Trauma Room: The Effect on Workup Times
- 1 May 2008
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of Trauma and Acute Care Surgery
- Vol. 64 (5), 1320-1326
- https://doi.org/10.1097/ta.0b013e318059b9ae
Abstract
Introduction: We developed a new shockroom resuscitation setting that includes a moveable, multislice computed tomography (CT) scanner capable of scanning patients during the initial trauma resuscitation phase without (multiple) patient transfers that previously were necessary. This enables us to perform a complete diagnostic trauma workup, without leaving the shockroom. In this study, we assess the effect of the new Trauma Workflow Concept on the initial diagnostic workup times in the trauma room. Materials: Data of 100 consecutive trauma patients were collected prospectively (2005 cohort) and compared with 100 consecutive trauma patients seen in our previous trauma resuscitation setting (2003 cohort). For all patients, time management was evaluated using video registration and complemented with electronic imaging times. Patients with and without CT scanning were compared with the effect of CT scanning on complete workup time, defined as time from admission to the trauma room to time of completion of diagnostic workup. Results: Patient demographics, including appliance of CT imaging were similar. Complete diagnostic workup for patients who underwent CT imaging took an average of 79 minutes (standard deviation ± 29 minutes) in the 2005 cohort and 105 minutes (standard deviation ± 48 minutes) in the 2003 cohort. Complete diagnostic workup without CT imaging took 56 minutes and 53 minutes for the 2005 and 2003 cohorts, respectively. There was no difference found for nonscanned patients, whereas there was a significant difference between 2005 and 2003 for scanned patients (p < 0.01). Conclusion: Our new trauma workflow concept with a sliding CT scanner was significantly faster for completing the initial diagnostic workup, especially when CT imaging was required.Keywords
This publication has 23 references indexed in Scilit:
- The radiological management of bomb blast injuryClinical Radiology, 2007
- The Use of Low Dosage X-Ray (Lodox/Statscan) in Major Trauma: Comparison Between Low Dose X-Ray and Conventional X-Ray TechniquesThe Journal of Trauma and Acute Care Surgery, 2006
- Development of an accelerated MSCT protocol (Triage MSCT) for mass casualty incidents: comparison to MSCT for single-trauma patientsEmergency Radiology, 2006
- Clearing the cervical spine after polytrauma: implementing unified management for unconscious victims in the intensive care unitAnaesthesia, 2004
- Are Five-View Plain Films of the Cervical Spine Unreliable? A Prospective Evaluation in Blunt Trauma Patients with Altered Mental StatusThe Journal of Trauma and Acute Care Surgery, 2003
- Reformatted Visceral Protocol Helical Computed Tomographic Scanning Allows Conventional Radiographs of the Thoracic and Lumbar Spine to Be Eliminated in the Evaluation of Blunt Trauma PatientsThe Journal of Trauma and Acute Care Surgery, 2003
- Prospective Validation of Computed Tomographic Screening of the Thoracolumbar Spine in TraumaThe Journal of Trauma and Acute Care Surgery, 2003
- Not So FastThe Journal of Trauma and Acute Care Surgery, 2003
- Multidetector CT: Detection of Active Hemorrhage in Patients with Blunt Abdominal TraumaAmerican Journal of Roentgenology, 2002
- Value of Thoracic Computed Tomography in the First Assessment of Severely Injured Patients with Blunt Chest TraumaJournal Of Trauma-Injury Infection and Critical Care, 1997