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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 6/2021

Open Access 01-12-2021 | Polytrauma | Original Article

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

Authors: Maximilian Kippnich, Nora Schorscher, Markus Kredel, Christian Markus, Lars Eden, Tobias Gassenmaier, Johann Lock, Thomas Wurmb

Published in: European Journal of Trauma and Emergency Surgery | Issue 6/2021

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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.
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Metadata
Title
Dual-room twin-CT scanner in multiple trauma care: first results after implementation in a level one trauma centre
Authors
Maximilian Kippnich
Nora Schorscher
Markus Kredel
Christian Markus
Lars Eden
Tobias Gassenmaier
Johann Lock
Thomas Wurmb
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 6/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-020-01374-5

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