Table 3.
Details of priority change in organ injury management after underwent pan-scan.
Patients | Priority management before underwent pan-scan | Priority management after underwent pan-scan | Priority change (major/minor)= |
---|---|---|---|
1 | 1st TBI 2nd Pneumothorax |
1st C-spine fracture 2nd TBI 3rd Pneumothorax |
Major |
2 | 1st Maxillofacial fracture 2nd TBI |
1st Brain herniation | Major |
3 | 1st Hemothorax 2nd Pelvic fracture |
1st Pelvic fracture with hemorrhagic shock 2nd Small lung laceration with minimal hemothorax |
Major |
4 | 1st Extremities long bone fracture | 1st Abdominal solid organ injury 2nd Extremities long bone fracture |
Major |
5 | 1st Extremities long bone fracture 2nd Ribs fracture |
1st TBI 1st Extremities long bone fracture |
Minor |
6 | 1st Abdominal solid organ injury 2nd Pneumohemothorax 3rd Open fracture of extremities |
1st Pneumohemothorax 2nd Splenic injury without shock 3rd Open fracture of extremities |
Minor |
7 | 1st Pneumothorax 2nd TBI |
1st Base of skull fracture and TBI 2nd Occult pneumothorax |
Major |
8 | 1st Pneumothorax 2nd Pelvic fracture |
1st Pelvic fracture with internal iliac artery injury 2nd Pneumothorax 3rd Bladder injury |
Major |
9 | 1st Hemothorax | 1st Thoracic aortic injury 2stHemothorax 3rd Perinephric hematoma |
Major |
10 | 1st Pneumothorax 2nd TBI |
1st C-spine fracture 2nd Pneumothorax 3rd Maxillofacial fracture |
Major |
11 | 1st Maxillofacialfracture 1st TBI |
1st TBI and DAI 2nd Maxillary and orbital floor fracture |
Minor |
12 | 1st TBI 2nd Hemothorax |
1st C-spine fracture 2nd Lung laceration |
Minor |
13 | 1st Pneumothorax 2nd Abdominal solid organ injury |
1st Hallow viscus organ perforation 2nd Pneumohemothorax 3rd TBI |
Major |
14 | 1st Abdominal solid organ injury 2nd Pelvic fracture 3rd Retroperitoneal hematoma |
1st Pelvic fracture 2nd Retroperitoneal hematoma |
Minor |
TBI; traumatic brain injury.
DAI; diffuse axonal injury.
Major priority change is change order of organ injury management if missed cause mortality.
Minor priority change that if missed this injury is not cause mortality.