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Carel
Perhaps you should send through a picture or two of your CT/resus suite to
show what you mean by 'co-located'
:-)
K

2009/10/8 Doc Holiday <drydok at hotmail.com>

>
> I will contact you in a few days, as I am curious. Cannot now, as
> travelling around the USA...
>
>
>
> However, I suspect we will also likely decline on the grounds of not being
> willing to NOT CT our patients, as our internal audit outcomes suggest this
> would be a step backwards. Have been doing our "polytrauma CT" protocol for
> some time now and do have co-located resuscitation, X-ray & CT...
>
>
>
> But still interested...
>
> > From: t.p.saltzherr at amc.uva.nl
> > To: trauma-list at trauma.org
> > Subject:
> > Date: Thu, 8 Oct 2009 15:26:48 +0200
>  >
> > Dear list members,
> >
> > We are looking for co-investigators in a multicenter trial in which
> immediate total body CT scanning is compared with conventional X-ray imaging
> supplied with (selective) CT scanning in severely injured patients. If you
> are interested, please continue reading.
> >
> > Total body CT scanning (TBCT) is increasingly being used in severely
> injured patients. The current available evidence on clinical outcomes seems
> promising but is of low quality level. Most studies on TBCT were
> retrospective cohort studies or prospective studies with small populations
> and sub-clinical outcome measures. We feel that better research on both the
> advantages as well as side effects of TBCT is required before a wide
> adaptation of this strategy can be recommended.
> >
> > In a multidisciplinary research group a protocol was developed for a
> multicenter RCT in which the effects of immediate TBCT, without preceding
> X-ray imaging or FAST, will be compared with the conventional ATLS imaging
> guidelines with selective CT scanning. Inclusion criteria are based on
> compromised vital parameters or suspicion on specific severe injuries.
> Primary outcome is 30 day mortality; 539 patients per group are required.
> Funding is currently being sought.
> >
> > During our search for co-investigators we experienced difficulties
> finding trauma centers that have the facilities to meet our safety
> requirements for participation: a CT scanner, resuscitation equipment, and
> facilities for conventional imaging all in one room. Some centers that did
> have the appropriate equipment were already convinced on the available
> evidence and were not willing to perform the conventional arm anymore in
> severely injured patients.
> >
> > If anyone is interested in receiving more information on participation in
> this RCT please do not hesitate to contact us off list.
> >
> > With kind regards,
> >
> > Carel Goslings, MD, PhD
> > Teun-Peter Saltzherr, MD
> >
> > Academic Medical Center
> > Trauma Unit dept. Surgery
> > Amsterdam, Netherlands
> >
> > References:
> > 1) Effect of whole-body CT during trauma resuscitation on survival: a
> retrospective, multicentre study. Lancet. 2009 Apr 25;373(9673):1455-61.
> Huber-Wagner S et al.
> > 2) Comments: Lancet. 2009 Apr 25;373(9673):1455-61
> >
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