Relevance of Whole-body Computed Tomography Prescription in the Emergency Department : an Identification Tool for Low Risk Patients

Launched by UNIVERSITY HOSPITAL, ROUEN · Oct 18, 2022

Keywords

ClinConnect Summary

This clinical trial is exploring how to better decide when to use a whole-body computed tomography (CT) scan for patients who have experienced trauma, like serious injuries from car accidents or falls. The goal is to help emergency doctors identify which patients truly need this powerful imaging tool while avoiding unnecessary scans. This is important because many patients who receive a CT scan end up having no injuries, which can expose them to unnecessary radiation and increase healthcare costs.

To participate in this study, you must be an adult patient who is being evaluated for injuries in the emergency department after a traumatic event, such as a car crash or a fall. There are some conditions that would exclude you, like having severe neurological issues or being pregnant. If you qualify and choose to participate, you will help researchers develop a better system for determining when a CT scan is necessary, ultimately aiming to improve patient care and safety in emergency situations.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Any adult patient undergoing an SCE as part of a post-traumatic lesion assessment during a stay in the emergency room.
• • Mechanism of injury: road accident or fall.
• • Patient having read and understood the information letter and given his oral consent.
• Exclusion Criteria:
• • Neurological impairment defined by a Glasgow score of less than 8.
• • Respiratory failure with SpO2 \< 90% on oxygen or with the use of ventilatory assistance.
• • Hemodynamic failure with vascular filling greater than 1000 cc or recourse to catecholamines.
• • Acute alcoholism.
• • Taking narcotics.
• • History of cognitive disorders.
• • Current pregnancy.
• • Suicidal patient.
• • Trauma related to a brawl
• • Penetrating trauma.
• • Hemophilia.
• • Known thrombocytopenia at the time of inclusion.
• • Heart, lung, liver or kidney transplant patient.
• • Person deprived of liberty by an administrative or judicial decision or person placed under legal safeguard / sub-tutorship or curatorship.