Dual-room twin-CT scanner in multiple trauma care: first results after implementation in a level one trauma centre

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.

Application of the Whole Optimization of Emergency Nursing Model United and Its Influence on Patients’ Stress Response and Nursing Satisfaction

“…Multiple trauma patients have at least two organ injuries caused by one reason such as external force and falling accidents. In recent years, with the changes of the living environment, the number of multiple trauma patients worldwide is increasing with each passing day and patients are facing a high mortality [ 1 – 3 ]. Physical traumas are tragic and multifaceted injuries that suddenly threaten life.…”

Simultaneous treatment of trauma patients in a dual room trauma suite with integrated movable sliding gantry CT system: an observational study

“…Continuous quality management is also reflected in the improvements of the tCT in our trauma center. In a study performed immediately after the introduction of the new concept (2018), the tCT was found to be about 15 min, compared to a previous study of our trauma center in 2003 where the tCT was about 10 min (single whole-body CT trauma resuscitation room) 1 , 12 . In this study, the tCT was found to be 6 min (group 1) or 8 min (group 2).…”

“…The simultaneous treatment of two trauma patients in a dual-room trauma resuscitation suite constitutes a medical, organizational and technical challenge 12 . In this setting, the trauma leadership is a prominent position.…”

“…After 14 years of clinical and scientific experience (2004–2018) with a single-CT trauma resuscitation room using whole-body CT as the first-line diagnostic tool in trauma patients with multiple injuries, we redesigned our trauma suite 12 . Since 2018, our concept is based on a two-room trauma suite with an integrated movable sliding gantry CT-system.…”

“…Directly after introduction of the new concept, we evaluated the process of trauma care and analysed different sub-steps of the overall process 12 . After familiarisation, training and the treatment of more than 500 trauma patients within the first year, we now intend to identify specific performance criteria for patients who were treated simultaneously in the Trauma suite.…”