Table 3:
Consequences of the 70 injuries (62 patients) that were missed by the initial pan-scan
| Type of injury | Total no. | Consequence*; no. of injuries | |||
|---|---|---|---|---|---|
| Surgery† | Chest tube‡ | Interventional procedure | Anticoagulation§ | ||
| Intracranial bleeding | 11 | 1 | 2¶ | ||
| Lung contusion | 11 | ||||
| Hemothorax | 10 | 1 | 9 | ||
| Unstable spine fracture | 7 | 7 | |||
| Stable spine fracture | 7 | 3 | |||
| Liver rupture | 5 | 3 | |||
| Kidney injury | 4 | 1** | |||
| Visceral tear | 3 | 3 | |||
| Acetabular fracture | 3 | 2 | |||
| Serial rib fractures | 2 | ||||
| Extracranial vessel injury | 2 | 2 | |||
| Facial fracture | 2 | 1 | |||
| Retroperitoneal bleeding | 1 | ||||
| Pelvic ring fracture | 1 | 1 | |||
| Pneumothorax | 1 | 1 | |||
| Total | 70 | 22 | 10 | 3 | 2 |
*
In addition to monitoring in the intensive care unit.
†
Injuries that required surgical intervention (e.g., trepanation, thoracotomy, laparotomy, or internal fracture fixation) in addition to usual care.
‡
Additional chest drains because of progressive intrathoracic bleeding or pneumothorax that was not visible on the pan-scan scan.
§
Anticoagulation with heparin for intimal dissection of the carotid artery detected by follow-up computed-tomography angiography ordered because of neurologic deterioration.
¶
Intracranial pressure monitors.
**
Radiologic coiling intervention for massive kidney bleeding.