Department of Emergency and Critical Care Medicine, Kansai Medical University Medical Center, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan.
Department of Emergency and Critical Care Medicine, Kansai Medical University Hospital, 2-3-1 Shinmachi, Hirakata, Osaka, 573-1191, Japan.
Scand J Trauma Resusc Emerg Med. 2018 Mar 5;26(1):17. doi: 10.1186/s13049-018-0484-3.
Computed tomography (CT) embedded in the emergency room has gained importance in the early diagnostic phase of trauma care. In 2011, we implemented a new trauma workflow concept with a sliding CT scanner system with interventional radiology features (IVR-CT) that allows CT examination and emergency therapeutic intervention without relocating the patient, which we call the Hybrid emergency room (Hybrid ER). In the Hybrid ER, all life-saving procedures, CT examination, damage control surgery, and transcatheter arterial embolisation can be performed on the same table. Although the trauma workflow realized in the Hybrid ER may improve mortality in severe trauma, the Hybrid ER can potentially affect the efficacy of other in/outpatient diagnostic workflow because one room is occupied by one severely injured patient undergoing both emergency trauma care and CT scanning for long periods. In July 2017, we implemented a new trauma workflow concept with a dual-room sliding CT scanner system with interventional radiology features (dual-room IVR-CT) to increase patient throughput. When we perform emergency surgery or interventional radiology for a severely injured or ill patient in the Hybrid ER, the sliding CT scanner moves to the adjacent CT suite, and we can perform CT scanning of another in/outpatient. We believe that dual-room IVR-CT can contribute to the improvement of both the survival of severely injured or ill patients and patient throughput.
计算机断层扫描（CT）在急诊室中的应用在创伤救治的早期诊断阶段变得越来越重要。2011 年，我们实施了一种新的创伤工作流程概念，采用带有介入放射学功能的滑动 CT 扫描仪系统（IVR-CT），允许在不移动患者的情况下进行 CT 检查和紧急治疗干预，我们称之为混合急诊室（Hybrid ER）。在 Hybrid ER 中，所有的救生程序、CT 检查、损伤控制手术和经导管动脉栓塞术都可以在同一张手术台上进行。尽管 Hybrid ER 中的创伤工作流程可能会降低严重创伤患者的死亡率，但它也可能会影响其他门诊/住院诊断工作流程的效果，因为一个房间会被一个同时接受紧急创伤护理和长时间 CT 扫描的严重受伤患者占用。2017 年 7 月，我们实施了一种新的创伤工作流程概念，采用带有介入放射学功能的双间滑动 CT 扫描仪系统（dual-room IVR-CT）来增加患者吞吐量。当我们在 Hybrid ER 中对严重受伤或患病的患者进行紧急手术或介入放射学治疗时，滑动 CT 扫描仪会移动到相邻的 CT 套房，我们可以对另一位门诊/住院患者进行 CT 扫描。我们相信，dual-room IVR-CT 可以提高严重受伤或患病患者的生存率和患者吞吐量。
