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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Itakura, Kaoru S. Pillsbury, McKinsey M. Rodriguez, Robert M. |
| Description | Author Affiliation: Itakura KS ( University of California San Francisco School of Medicine, San Francisco, California.); Pillsbury MM ( University of California San Francisco, San Francisco, California.); Rodriguez RM ( Department of Emergency Medicine, University of California San Francisco, San Francisco, California.) |
| Abstract | BACKGROUND: Although x-ray studies provide important diagnostic information during trauma resuscitations, they may also lead to significant interruptions in care. OBJECTIVES: We sought to determine the frequency and duration of interruptions for chest x-ray studies (CXR) and pelvic x-ray studies (PXR) and the frequency of lead apron use among providers who exited trauma rooms during resuscitation. METHODS: Using a convenience sampling method, we conducted a prospective, observational study from August 2013 to March 2014, enrolling adult trauma patients at a Level I trauma center who received CXR and PXR in the first 30 min of evaluation. An observer stood outside resuscitation rooms and recorded the time elapsed from the first provider exiting the room to the last provider returning. We recorded how many exiting providers wore lead aprons and whether unused aprons were available. RESULTS: Of the 156 trauma cases observed, 67.3% were of male patients with a mean age of 52 years (interquartile range [IQR] 34-67 years); 97.4% (184/189) of radiographs resulted in interruptions of trauma evaluation. Mean and median interruption times were 67 s and 50 s, respectively (IQR 25-95) for CXR; 37 s and 27 s, respectively (IQR 16-43) for PXR; and 160 s and 180 s, respectively (IQR 120-180) for combined CXR/PXR. A mean of 3.5 providers (IQR 3-5) left the immediate bedside and exited the room during x-ray studies. Most (91%) providers leaving the room were not wearing lead aprons, and extra aprons were available in the room 91% (167/184) of the time. CONCLUSIONS: Radiographic procedures often result in interruptions of trauma resuscitations despite the availability of lead aprons. |
| File Format | HTM / HTML |
| ISSN | 07364679 |
| Issue Number | 2 |
| Volume Number | 49 |
| Journal | The Journal of Emergency Medicine |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-08-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Emergency medicine Cardiopulmonary Resuscitation Pelvis Protective Clothing Utilization Radiography, Thoracic Statistics & Numerical Data Adult Aged Female Humans Male Middle Aged Occupational Exposure Prevention & Control Prospective Studies Radiation Exposure Radiography Time Factors Trauma Centers Journal Article Observational Study |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine |
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