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Why Use A Hybrid OR For Trauma?

The Trauma Pro

Not CT, and certainly not the radiology department. Heres the traditional algorithm for a patient with hemorrhage from pelvic fractures: They go to the operating room or interventional radiology. Only the OR, because thats the only place that something can actually be done about the bleeding. However, thats not entirely true now.

Radiology 147
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The Role Of Postop CT Scan In Penetrating Trauma

The Trauma Pro

Here are the factoids: Only 110 patients had a postop CT scan; 73 had scans within the first 24 hours, the other 37 were scanned later The rationale for early scan was to investigate retroperitoneal injury in half of patients, but frequently no indication was given (41%) The rationale for late scan was for workup of ileus in one-third or for evaluation (..)

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Is The Hybrid OR For Trauma Useful?

The Trauma Pro

They installed a multi-slice interventional radiology/CT unit in their resuscitation room! Hybrid treatment combining emergency surgery and intraoperative interventional radiology for severe trauma. A second Japanese paper was published last year with much larger numbers. Their hybrid OR was actually a hybrid ER! Injury 47:59-63, 2016.

Radiology 147
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Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

PEMBlog

PubMed Marin JR, Lyons TW, Claudius I, et al; American Academy of Pediatrics Committee on Pediatric Emergency Medicine, Section on Radiology; American College of Emergency Physicians Pediatric Emergency Medicine Committee; American College of Radiology. Pediatrics. 2024;154(1):e2024066854. doi:10.1542/peds.2024-066854. 2024-066854.

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Implementation of a standardized pregnancy screening process to address gender disparities in radiology turn-around-time and ED length of stay

EM Ottawa

Findings: Pre intervention women of childbearing age had 18 min longer CT […] The post Implementation of a standardized pregnancy screening process to address gender disparities in radiology turn-around-time and ED length of stay appeared first on EMOttawa Blog.

Radiology 119
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How Soon Does The Backup Surgeon Need to Arrive?

The Trauma Pro

Here’s how I think about it: With the exception of interventional radiology and the trauma surgeon at higher-level trauma centers, everyone else has a 30-minute expectation. Each trauma center is left to decide this on its own. What is a reasonable time frame?

Radiology 113
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Imaging in paediatric trauma- what’s new?

Don't Forget the Bubbles

The guidance is built on recommendations developed through consensus opinion from UK experts in paediatric radiology and paediatric major trauma. There are some situations where our clinical assessment may be compromised, in these cases radiological imaging should be considered as a tool to exclude injury. What is this guidance?

Radiology 108