Table 4.

Criteria for immediate total-body CT in trauma patients used in REACT-2 trial

Trauma patients with one of the following parameters at hospital arrival:

• respiratory rate ≥ 30/min or ≤ 10/min

• pulse ≥ 120/min

• systolic blood pressure ≤ 100 mmHg

• estimated exterior blood loss ≥ 500 ml

• Glasgow coma score ≤ 13

OR

Patients with a clinical suspicion of one of the following diagnoses:

• fractures from at least two long bones

• flail chest, open chest or multiple rib fractures

• severe abdominal injury

• pelvic fracture

• unstable vertebral fractures/spinal cord compression

OR

Patients with one of the following injury mechanisms:

• fall from a height (> 3 m/> 10 feet)

• ejection from a vehicle

• death of occupant in same vehicle

• severely injured patient in same vehicle

• wedged or trapped chest/abdomen

Contra-indications

Trauma patients with one of the following characteristics were excluded:

• known age < 18 years

• known pregnancy

• referred from another hospital

• clearly low-energy trauma with blunt injury mechanism

• any patient with a stab wound in one body region

• any patient who is judged to be too unstable to undergo a CT scan and requires (cardiopulmonary) resuscitation or immediate operation because death is imminent