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. 2013;2013:437078.
doi: 10.1155/2013/437078. Epub 2013 Sep 24.

Full-body X-Ray Imaging to Facilitate Triage: A Potential Aid in High-Volume Emergency Departments

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Free PMC article

Full-body X-Ray Imaging to Facilitate Triage: A Potential Aid in High-Volume Emergency Departments

S P Whiley et al. Emerg Med Int. .
Free PMC article

Abstract

The levels of traumatic injury seen in South African emergency departments (EDs) are epidemic. This is coupled with a severe lack of resources and adequately trained emergency staff. The Lodox Statscan (LS) is an X-ray scanner capable of producing rapid, low-dose, and full-body X-ray images. In this paper, a new trauma protocol-the Johannesburg trauma protocol-that implements LS scanning on entry to the ED as a triage tool is reported. A case study illustrating the use of LS to triage 63 patients in a single Saturday shift at a level 1 Trauma Centre is also presented. Because of the ability to rapidly and safely provide X-ray imaging information to support clinical decision making, the LS could be a useful tool to aid in resource allocation to improve treatment of the high levels of trauma patients that present to South African EDs daily.

Figures

Figure 1
Figure 1
The Lodox Statscan (LS).
Figure 2
Figure 2
Flowchart outlining the Johannesburg trauma protocol.
Figure 3
Figure 3
(a) LS X-ray of a paediatric patient showing fractured tibia/fibula and verification of chest intubation and (b) LS of an adult male showing gunshot wound to the abdomen.

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References

    1. Wallis LA, Twomey M. Workload and casemix in Cape Town emergency departments. South African Medical Journal. 2007;97(12):1276–1280. - PubMed
    1. Bruce JC, Schmollgruber S, Eales J, Gassiep J, Doubell V. Injury surveillance at a level 1 trauma centre in Johannesburg, South Africa. Health SA Gesondheid. 2003;8(3):3–12.
    1. Pillay KK, Ross A, van der Linder S. Trauma unit workload at King Edward VIII Hospital, Durban, KwaZulu-Natal. South African Medical Journal. 2012;102(5):307–308. - PubMed
    1. Norman R, Matzopoulos R, Groenewald P, Bradshawa D. The high burden of injuries in South Africa. Bulletin of the World Health Organization. 2007;85(9):695–702. - PMC - PubMed
    1. Hardcastle TC, Brysiewicz P. Trauma care in South Africa: from humble beginnings to an afrocentric outreach. International Emergency Nursing. 2013;21:118–122. - PubMed
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