Injury
Volume 40, Issue 8 , Pages 873-875 , August 2009

Impact on trauma patient management of installing a computed tomography scanner in the emergency department

  • K.L. Lee

      Affiliations

    • Accident & Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Trauma & Emergency Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Department of Diagnostic Radiology & Organ Imaging, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
  • ,
  • Colin A. Graham

      Affiliations

    • Accident & Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Trauma & Emergency Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Corresponding Author InformationCorresponding author at: Accident & Emergency Medicine Academic Unit, Chinese University of Hong Kong, Trauma & Emergency Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR. Tel.: +852 2632 1033; fax: +852 2648 1469.
  • ,
  • Jenny M.Y. Lam

      Affiliations

    • Accident & Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Trauma & Emergency Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
  • ,
  • Janice H.H. Yeung

      Affiliations

    • Accident & Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Trauma & Emergency Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
  • ,
  • A.T. Ahuja

      Affiliations

    • Department of Diagnostic Radiology & Organ Imaging, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
  • ,
  • Timothy H. Rainer

      Affiliations

    • Accident & Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
    • Trauma & Emergency Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR

,Accepted 1 December 2008.

References 

  1. Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–2284
  2. Cheng CH, Graham CA, Gabbe BJ, et al. Trauma care systems: a comparison of trauma care in Victoria, Australia and Hong Kong, China. Ann Surg. 2008;247:335–342
  3. Cheung NK, Yeung JHH, Chan JTS, et al. Primary trauma diversion—initial experience in Hong Kong. J Trauma. 2006;61:954–960
  4. Civil IDS. Current imaging technology and trauma: has the secondary survey been superceded?. Injury. 2008;39:505–506
  5. Cowley RA. The resuscitation and stabilization of major trauma patients in trauma center environment. Clin Med. 1976;83:16–22
  6. Hilbert P, zur Nieden K, Hofmann GO, et al. New aspects in the emergency room management of critically injured patients: a multi-slice CT-oriented care algorithm. Injury. 2007;38:552–558
  7. Hong Kong Census and Statistics Division, Hong Kong Special Administrative Region Government. Available at: http://www.censtatd.gov.hk/. Accessed 1 February 2008.
  8. Hounsfield GN. Computerized transverse axial scanning (tomography). Part 1. Description of system. Br J Radiol. 1973;46:1016–1022
  9. Kloppel R, Schreiter D, Dietrich J, et al. Early clinical management after polytrauma with 1 and 4 slice spiral CT. Radiologe. 2002;42:541–546
  10. Safran DB, Pilati D, Folz E, Oller D. Is appendiceal CT scan overused for evaluating patients with right lower quadrant pain?. Am J Emerg Med. 2001;19:199–203
  11. Sittig DF, Ash JS, Ledley RS. The story behind the development of the first whole-body computerized tomography scanner as told by Robert S. Ledley. J Am Med Inform Assoc. 2006;13:465–469
  12. Yeung JHH, Cheung NK, Graham CA, et al. Role of the trauma nurse coordinator in Hong Kong. Surg Pract. 2006;10:97–101

PII: S0020-1383(08)00538-X

doi: 10.1016/j.injury.2008.12.001

Injury
Volume 40, Issue 8 , Pages 873-875 , August 2009