An evaluation of a Shockroom located CT scanner: a randomized study of early assessment by CT scanning in trauma patients in the bi-located trauma center North-West Netherlands (REACT trial).

BMC Emergency Medicine
Teun Peter SaltzherrJ Carel Goslings

Abstract

Trauma is a major source of morbidity and mortality, especially in people below the age of 50 years. For the evaluation of trauma patients CT scanning has gained wide acceptance in and provides detailed information on location and severity of injuries. However, CT scanning is frequently time consuming due to logistical (location of CT scanner elsewhere in the hospital) and technical issues. An innovative and unique infrastructural change has been made in the AMC in which the CT scanner is transported to the patient instead of the patient to the CT scanner. As a consequence, early shockroom CT scanning provides an all-inclusive multifocal diagnostic modality that can detect (potentially life-threatening) injuries in an earlier stage, so that therapy can be directed based on these findings. The REACT-trial is a prospective, randomized trial, comparing two Dutch level-1 trauma centers, respectively the VUmc and AMC, with the only difference being the location of the CT scanner (respectively in the Radiology Department and in the shockroom). All trauma patients that are transported to the AMC or VUmc shockroom according to the current prehospital triage system are included. Patients younger than 16 years of age and patients who die...Continue Reading

References

Jun 1, 1997·Der Unfallchirurg·A TrupkaK J Pfeifer
May 28, 2005·The Journal of Trauma·James Frederick Holmes, Radha Akkinepalli
Jan 22, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Markus KörnerUlrich Linsenmaier

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Citations

May 13, 2010·Journal of Trauma Management & Outcomes·Karl-Georg KanzUNKNOWN Trauma Registry of the German Trauma Society
Jul 29, 2011·International Journal of Emergency Medicine·Cornelis H van der VliesJ Carel Goslings
Dec 7, 2013·European Radiology·Ingri L E PostmaJ C Goslings
May 4, 2010·Injury·T P SaltzherrJ C Goslings
Aug 9, 2011·Injury·G F GiannakopoulosUNKNOWN REACT Study Group
Sep 5, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·W J van den HoutR Hoencamp
Aug 1, 2012·The Journal of Bone and Joint Surgery. American Volume·Vanessa A ScholtesRudolf W Poolman
Jun 2, 2009·Biomedical Instrumentation & Technology·Chad E Kennedy
Mar 18, 2017·Current Trauma Reports·D C OlthofJ C Goslings
Sep 30, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Leon GuchlernerClaudia Frellesen
Jan 24, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Khadidja Malloum BoukarJulien Clement
Sep 4, 2020·Journal of Ultrasound·Stefania IannielloVittorio Miele

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Methods Mentioned

BETA
X-ray

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