ワダ ダイキ   WADA DAIKI
  和田 大樹
   所属   関西医科大学  救急医学講座
   職種   講師
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Combined brain and thoracic trauma surgery in hybrid emergency room system:acase report
掲載誌名 正式名:BMC surgery
略  称:BMC Surg
ISSNコード:14712482
掲載区分国外
巻・号・頁 21(1),pp.219
総ページ数 6
著者・共著者 Daiki Wada, Koichi Hayakawa, Fukuki Saito, Kazuhisa Yoshiya, Yasushi Nakamori, Yasuyuki Kuwagata
発行年月 2021/04
概要 BACKGROUND: A novel trauma workflow system called the hybrid emergency room
(Hybrid ER), which combines a sliding CT scanner system with interventional
radiology features (IVR-CT), was initially instituted in our emergency
department in 2011. Use of the Hybrid ER enables CT diagnosis and emergency
therapeutic interventions without transferring the patient to another room. We
describe an illustrative case of severe multiple blunt trauma that included
injuries to the brain and torso to highlight the ability to perform multiple
procedures in the Hybrid ER.
CASE PRESENTATION: A 46-year-old man sustained multiple injuries after falling
from height. An early CT scan performed in the Hybrid ER revealed grade IIIa
thoracic aortic injury, left lung contusion, and right subdural haematoma and
subarachnoid haemorrhage. Without relocating the patient, all definitive
procedures, including trepanation, total pneumonectomy, and thoracic
endovascular aneurysm repair were performed in the Hybrid ER. At 5.72 h after
definitive surgery was begun, the patient was transferred to the intensive care
unit.
CONCLUSIONS: The Hybrid ER has the potential to facilitate the performance of
multiple definitive procedures in combination to treat severe multiple blunt
trauma including injuries to the brain and torso. Emergency departments with
more than one resuscitation room would benefit from a Hybrid ER to treat complex
emergency cases.
DOI 10.1186/s12893-021-01218-y
PMID 33906660