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Emergency Bleeding Control Interventions After Immediate Total-Body CT Scans in Trauma Patients

Published on Feb 1, 2019in World Journal of Surgery 2.77
· DOI :10.1007/s00268-018-4818-0
K. Treskes (UvA: University of Amsterdam), Teun Peter Saltzherr13
Estimated H-index: 13
+ 5 AuthorsJ. C. Goslings16
Estimated H-index: 16
(UvA: University of Amsterdam)
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Abstract
Background Immediate total-body CT (iTBCT) is often used for screening of potential severely injured patients. Patients requiring emergency bleeding control interventions benefit from fast and optimal trauma screening. The aim of this study was to assess whether an initial trauma assessment with iTBCT is associated with lower mortality in patients requiring emergency bleeding control interventions.
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Published on Feb 1, 2017in European Journal of Trauma and Emergency Surgery 1.78
K. Treskes3
Estimated H-index: 3
(AMC: Academic Medical Center),
Teun Peter Saltzherr13
Estimated H-index: 13
(AMC: Academic Medical Center)
+ 2 AuthorsJ. C. Goslings6
Estimated H-index: 6
(AMC: Academic Medical Center)
Purpose Total-body CT scanning (TBCT) could improve the initial in-hospital evaluation of severe trauma patients. Indications for TBCT, however, differ between trauma centers, so more insight in how to select patients that could benefit from TBCT is required. The aim of this review was to give an overview of currently used indications for total-body CT in trauma patients and to describe mortality and Injury Severity Scores of patient groups selected for TBCT.
5 Citations Source Cite
Published on Aug 1, 2016in The Lancet 59.10
Joanne C. Sierink9
Estimated H-index: 9
,
K. Treskes3
Estimated H-index: 3
+ 8 AuthorsMarkus W. Hollmann47
Estimated H-index: 47
Summary Background Published work suggests a survival benefit for patients with trauma who undergo total-body CT scanning during the initial trauma assessment; however, level 1 evidence is absent. We aimed to assess the effect of total-body CT scanning compared with the standard work-up on in-hospital mortality in patients with trauma. Methods We undertook an international, multicentre, randomised controlled trial at four hospitals in the Netherlands and one in Switzerland. Patients aged 18 year...
54 Citations Source Cite
Carlos A. Ordoñez17
Estimated H-index: 17
,
Juan P. Herrera-Escobar4
Estimated H-index: 4
+ 9 AuthorsMaria P. Garcia-Garcia1
Estimated H-index: 1
Dynamic and efficient resuscitation strategies are now being implemented in severely injured hemodynamically unstable (HU) patients as blood products become readily and more immediately available in the trauma room. Our ability to maintain aggressive resuscitation schemes in HU patients allows us to complete diagnostic imaging studies before rushing patients to the operating room (OR). As the criteria for performing computed tomography (CT) scans in HU patients continue to evolve, we decided to ...
12 Citations Source Cite
Published on Jul 24, 2013in PLOS ONE 2.78
Stefan Huber-Wagner16
Estimated H-index: 16
(TUM: Technische Universität München),
P. Biberthaler27
Estimated H-index: 27
(TUM: Technische Universität München)
+ 6 AuthorsRolf Lefering52
Estimated H-index: 52
Background The current common and dogmatic opinion is that whole-body computed tomography (WBCT) should not be performed in major trauma patients in shock. We aimed to assess whether WBCT during trauma-room treatment has any effect on the mortality of severely injured patients in shock.
113 Citations Source Cite
Published on Jan 1, 2013in Critical Care 6.96
Daiki Wada5
Estimated H-index: 5
(Kansai Medical University),
Yasushi Nakamori16
Estimated H-index: 16
(Kansai Medical University)
+ 8 AuthorsToshimitsu Hamasaki29
Estimated H-index: 29
(Osaka University)
Introduction Whole-body computed tomography (CT) has gained importance in the early diagnostic phase of trauma care. However, the diagnostic value of CT for seriously injured patients is not thoroughly clarified. This study assessed whether preoperative CT beneficially affected survival of patients with blunt trauma who required emergency bleeding control.
32 Citations Source Cite
Published on Apr 1, 2011in Emergency Medicine Journal 2.31
T. Wurmb15
Estimated H-index: 15
,
C Quaisser1
Estimated H-index: 1
+ 5 AuthorsJ Brederlau1
Estimated H-index: 1
Objectives Whole-body multislice helical CT becomes increasingly important as a diagnostic tool in patients with multiple injuries. Time gain in multiple-trauma patients who require emergency surgery might improve outcome. The authors hypothesised that whole-body multislice computed tomography (MSCT) (MSCT trauma protocol) as the initial diagnostic tool reduces the interval to start emergency surgery (tOR) if compared to conventional radiography, combined with abdominal ultrasound and organ-focu...
71 Citations Source Cite
Patrick Weninger14
Estimated H-index: 14
,
Walter Mauritz21
Estimated H-index: 21
+ 4 AuthorsHarald Hertz11
Estimated H-index: 11
Background: The early clinical management of patients with major trauma still represents a challenge. To clinically evaluate the full extent of a patient's injuries is difficult, especially when the patient is unconscious. Before December 2002, trauma patients admitted to our emergency room (ER) underwent a diagnostic protocol including physical examination, conventional radiography (CR), sonography and further procedures if necessary. After the installation of a MSCT scanner, all trauma patient...
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