Results from the first year as a major trauma radiology unit in the UK

Adiotomre, Ese; Chopra, Annu; Kirwadi, Anand; Kotnis, Nikhil

doi:10.1016/j.crad.2014.03.015

Cited by 9 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, such studies have not been published. Active intervention chosen 0 (0) 0 (0.0) Demographics, injury pattern, use of emergency interventions and time from trauma admission to start of the first CT scan in our population mainly compares to previously published similar studies [62][63][64][65]. The median pre-hospital transportation time of nearly two hours is, however, long when compared to large urban area trauma populations, but comparable to the context in other rural populations in for example Canada [66].…”

Section: Discussionsupporting

confidence: 57%

“…In our study, 23.3% of the patients in the SWBCT group had only minor or no injuries. In previous studies, this proportion range from 14% in a study with strict criteria up to 60% in studies with liberal criteria for SWBCT [31,62,63]. Hence, a prospective study assessing whether SWBCT examinations are justified in individual patients, would imply registrations of the injuries suspected by the trauma team before the CT examination strategy decision.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times

Bågenholm

Dehli

Hermansen

et al. 2020

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

Background: The International Commission on Radiological Protection's (ICRP) justification principles state that an examination is justified if the potential benefit outweighs the risk for radiation harm. Computer tomography (CT) contributes 50% of the radiation dose from medical imaging, and in trauma patients, the use of standardized whole body CT (SWBCT) increases. Guidelines are lacking, and reviews conclude conflictingly regarding the benefit. We aimed to study the degree of adherence to ICRP's level three justification, the individual dose limitation principle, in our institution. Methods: This is a retrospective clinical audit. We included all 144 patients admitted with trauma team activation to our regional Level 1 trauma centre in 2015. Injuries were categorized according to the Abbreviated Injury Scale (AIS) codes. Time variables, vital parameters and interventions were registered. We categorized patients into trauma admission SWBCT, selective CT or no CT examination strategy groups. We used descriptive statistics and regression analysis of predictors for CT examination strategy. Results: The 144 patients (114 (79.2%) males) had a median age of 31 (range 0-91) years. 105 (72.9%) had at least one AIS ≥ 2 injury, 26 (18.1%) in more than two body regions. During trauma admission, at least one vital parameter was abnormal in 46 (32.4%) patients, and 73 (50.7%) underwent SWBCT, 43 (29.9%) selective CT and 28 (19.4%) no CT examination. No or only minor injuries were identified in 17 (23.3%) in the SWBCT group. Two (4.6%) in the selective group were examined with a complement CT, with no new injuries identified. A significantly (p < 0.001) lower proportion of children (61.5%) than adults (89.8%) underwent CT examination despite similar injury grades and use of interventions. In adjusted regression analysis, patients with a high-energy trauma mechanism had significantly (p = 0.028) increased odds (odds ratio = 4.390, 95% confidence interval 1.174-16.413) for undergoing a SWBCT.

show abstract

Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 98%

Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times

Bågenholm

Dehli

Hermansen

et al. 2020

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…Despite this being a significant proportion of all patients examined, the present findings are similar to those previously published in the literature. 2,19,20 In the present study, 93% of patients had fewer body areas injured than clinically suspected. Although this may not be entirely unexpected, the fact that less than 2% of patients had injuries to all four body areas and that the "no injuries" or "injury to one body area" groups were the largest, does suggest that there is an overtendency to clinically categorise patients as being polytrauma victims and investigate them with WBCT.…”

Section: Discussionmentioning

confidence: 84%

“…1,2 Large studies have found that WBCT significantly reduces mortality in polytrauma victims and is associated with better outcomes than targeted CT examination. 3e5 As a result, the role of WBCT as an essential screening tool in trauma victims with multiple injured body areas is now firmly established; however, predicting who, amongst the many trauma patients that arrive at the emergency department, will have multiple injured body areas is difficult.…”

Section: Introductionmentioning

confidence: 99%

Comparison of clinically suspected injuries with injuries detected at whole-body CT in suspected multi-trauma victims

et al. 2015

Self Cite

View full text Add to dashboard Cite

“…Patients with multiple trauma injuries are normally admitted to emergency departments of the hospitals. As the evidence shows, it is hard to imagine contemporary medicine without using X-rays as diagnostic tools in road accident casualties (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Attitude of Radiology Technologists Towards Cardiopulmonary Resuscitation

Behroozi

Alboghbeish

Khalafi

et al. 2015

Jundishapur J Health Sci

View full text Add to dashboard Cite

Background:The number of casualties and critically ill patients referred to radiology departments increased during the past decade, which caused the risk of cardiac arrest in radiology departments to increase considerably. Objectives: The current study aimed to evaluate the knowledge and attitude of radiology technologists regarding Cardiopulmonary Resuscitation (CPR). Patients and Methods: After approval a cross sectional study was designed. Ninety five radiology technologists (male and female) were selected in four tertiary referral hospitals in Ahvaz, Iran. Accordingly, 87 radiologic technologists of which agreed to participate in the study. The researchers developed a questionnaire. The questionnaire consisted of three distinct sections including demographic data, attitude, and technical knowledge questions. Reliability of the technical knowledge questions were evaluated using Cronbach's alpha (76%). Data collection was performed using interview method. Results: Of the total 87 questionnaires, one was incomplete. None of the participants had attended a training program since employment. The average scores of attitude towards CPR and technical knowledge were 80 ± 8.9 and 8.8 ± 2.3, respectively. A correlation was observed between age and work experience (r = 0.866, P ≤ 0.0001), age and technical knowledge (r = 0.380, P ≤ 0.0001), work experience and technical knowledge (r = 0.317, P = 0.003), and attitude and technical knowledge (r = 0.397, P ≤ 0.0001). Also a correlation was observed between work experience and attitude (r = 0.385, P ≤ 0.0001). No significant difference was observed between male and female subjects' technical knowledge (P ≥ 0.05) and attitude (P ≥ 0.05). Conclusions: It can be concluded that, although the attitude of participants towards CPR was positive in general, their technical knowledge was poor. This finding should urge decision-makers to consider delivering in-service training courses to radiology technologists considering the increasing number of casualties and critically ill patients referred to radiology departments.

show abstract

Results from the first year as a major trauma radiology unit in the UK

Cited by 9 publications

References 15 publications

Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times

Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times

Comparison of clinically suspected injuries with injuries detected at whole-body CT in suspected multi-trauma victims

Knowledge and Attitude of Radiology Technologists Towards Cardiopulmonary Resuscitation

Contact Info

Product

Resources

About