Metoclopramide in Trauma CT Scanning

Background Computed tomography (CT) has emerged as the diagnostic modality of choice in trauma patients. Recent studies suggest its use in hemodynamically unstable patients is safe and potentially lifesaving; however, the incidence of adverse events (AE) during the trauma CT scanning process remains unknown. Study Design Over a 6-month period at a Level 1 trauma center, data on patients undergoing trauma CT (whole-body CT (WBCT) +/− additional CT studies) were prospectively collected. All patients requiring a trauma team activation (TTA) were included. Adverse events and specific time intervals were recorded from the time of TTA notification to the time of return to the resuscitation bay from the CT suite. Results Of the 94 consecutive patients included in the study, 47.9% experienced 1 or more AE. Median duration away from the resuscitation bay for all patients was 24 minutes. Patients with AE spent a significantly longer time away from the resuscitation bay and had longer scan times. Vasopressor support and ongoing transfusion requirement at the time of CT scanning were associated with AE. Conclusion Adverse events of varying clinical significance occur frequently in patients undergoing emergent trauma CT. A standard trauma CT protocol could improve the efficiency and safety of the scanning process.

Download Full-text

A novel multiple-trauma CT-scanning protocol using patient repositioning may increase risks of iatrogenic injuries

Emergency Radiology ◽

10.1007/s10140-007-0577-1 ◽

2007 ◽

Vol 13 (6) ◽

pp. 349-351 ◽

Cited By ~ 7

Author(s):

L. M. Benneker ◽

H. M. Bonel ◽

M. A. Zumstein ◽

A. K. Exadaktylos

Keyword(s):

Multiple Trauma ◽

Ct Scanning ◽

Iatrogenic Injuries ◽

Scanning Protocol ◽

Trauma Ct

Download Full-text

Invited comment on the work of Benneker L. et al. “A novel multiple-trauma CT-scanning protocol using patient repositioning may increase risks of iatrogenic injuries”

Emergency Radiology ◽

10.1007/s10140-007-0572-6 ◽

2007 ◽

Vol 13 (6) ◽

pp. 353-353 ◽

Cited By ~ 1

Author(s):

Hanno Hoppe ◽

Jan Gralla

Keyword(s):

Multiple Trauma ◽

Ct Scanning ◽

Iatrogenic Injuries ◽

Scanning Protocol ◽

Trauma Ct

Download Full-text

Trauma CT scanning at University Hospital Coventry (UHCW): a retrospective review

Clinical Radiology ◽

10.1016/j.crad.2012.06.096 ◽

2012 ◽

Vol 67 ◽

pp. S19

Author(s):

Bilal Salman ◽

Hiten Patel ◽

Michelle Christie-Large

Keyword(s):

Retrospective Review ◽

Ct Scanning ◽

University Hospital ◽

Trauma Ct

Download Full-text

Major trauma CT scanning: the experience of a regional trauma centre in the UK

Emergency Medicine Journal ◽

10.1136/emj.2009.076414 ◽

2010 ◽

Vol 28 (5) ◽

pp. 378-382 ◽

Cited By ~ 33

Author(s):

C. M. Smith ◽

L. Woolrich-Burt ◽

R. Wellings ◽

M. L. Costa

Keyword(s):

Major Trauma ◽

Ct Scanning ◽

Trauma Centre ◽

Trauma Ct ◽

The Uk

Download Full-text

Metoclopramide in trauma CT scanning: Preventing emesis of oral radiographic contrast

The American Journal of Emergency Medicine ◽

10.1016/s0735-6757(96)90052-2 ◽

1996 ◽

Vol 14 (4) ◽

pp. 373-376 ◽

Cited By ~ 7

Author(s):

Bernadette Page ◽

John Dallara

Keyword(s):

Ct Scanning ◽

Radiographic Contrast ◽

Trauma Ct

Download Full-text

The inception of the Bastion Protocol for trauma CT scanning

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-104-183 ◽

2018 ◽

Vol 104 (3) ◽

pp. 183-186

Author(s):

N J Carter ◽

G W Kirkwood ◽

R Miles ◽

D A T Gay

Keyword(s):

Ct Scanning ◽

Trauma Team ◽

Intravenous Contrast ◽

Joint Force ◽

Medical Treatment Facility ◽

The United Kingdom ◽

Civilian Trauma ◽

Trauma Ct ◽

Contrast Ct ◽

Ischial Tuberosities

AbstractDuring Operation HERRICK, increasing numbers of battlefield casualties resulted in the need for innovation in the medical management of trauma. The aim of diagnostic radiology was to provide fast and accurate diagnostic information to the trauma team. The Bastion Protocol Computed Tomography (CT) Traumagram played a vital part in achieving this aim in the Joint Force Role 3 Medical Treatment Facility (R3), Camp Bastion.The CT Traumagram comprises a non-contrast CT scan of the head, followed by a biphasic intravenous contrast injection with single-pass acquisition from the Circle of Willis to the ischial tuberosities or as far down the legs as is necessary. Diagnostic CT, once a time-consuming process, became one of the major medical successes of Operation HERRICK. As a result, the Bastion Protocol, in modified forms, has been widely accepted and adopted in civilian trauma practice throughout the United Kingdom (UK). This paper aims to document the inception of the Bastion Protocol.

Download Full-text