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Imaging utilization during explosive multiple casualty incidents.

Ali S Raja1, Brandon W Propper, Sheri L Vandenberg

  • 1445th Aeromedical Staging Squadron, Wright-Patterson Air Force Base, OH 45433, USA. aliraja@gmail.com

The Journal of Trauma
|June 12, 2010
PubMed
Summary

Emergency radiology, particularly computed tomography (CT), is crucial for explosive multiple casualty incidents (MCIs). Modern military trauma centers utilize significantly more imaging than previously reported for MCI patients.

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Area of Science:

  • Emergency Medicine
  • Radiology
  • Trauma Surgery

Background:

  • Explosive multiple casualty incidents (MCIs) necessitate robust emergency radiology protocols.
  • Previous literature suggested lower imaging utilization rates (approx. 50%) for explosive MCI patients.
  • This study investigates contemporary radiology use in a modern US military trauma hospital.

Purpose of the Study:

  • To describe current emergency radiology utilization in explosive MCI victims.
  • To compare contemporary imaging rates with historical data.
  • To inform disaster preparedness and resource allocation.

Main Methods:

  • Retrospective chart review of 3 MCIs at a US Air Force Theater Hospital in Iraq (Feb-Apr 2008).
  • Analysis of imaging modalities used during emergency department evaluation.
  • Inclusion of all patients managed following improvised explosive device incidents.

Main Results:

  • 92% of 50 patients received imaging; 90% underwent computed tomography (CT).
  • Patients averaged 3.5 CT scans and 1.9 X-rays during initial assessment.
  • CT trauma pan-scans were common (93%), with 49% yielding clinically significant findings.

Conclusions:

  • Contemporary explosive MCI victims require substantially more imaging, especially CT, than previously estimated.
  • Findings highlight the need to revise disaster management plans for radiology staffing and resources.
  • Data supports increased integration of advanced imaging in mass casualty incident preparedness.