NCEPOD: Trauma - Who Cares? - London Health Programmes

2Organisational dataTable 10. CT scanner and access to immediate reporting; proximity to emergency departmentand 24 hour accessibility24 hour accessibilityProximity Yes No Subtotal Not answered TotalAdjacent 93 4 97 6 103Onsite not adjacent 68 4 72 4 76Subtotal 161 8 169 10 179Not answered 2 0 2 2 4Total 163 8 171 12 183(Table 10). Since the risk to a patient’s stability is increasedduring movement, close proximity of the CT scanner to thepatient in the emergency department is of huge importance.It should be noted that advisors and clinicians completingquestionnaires frequently indicated that a patient could notbe scanned because of their instability. It is likely that thisscenario could be improved by the relocation of CT scannersinto the resuscitation room.In accordance with The Royal College of Radiologists’technical standards for CT 1 there appears to have been afairly good investment in CT scanner technology, as 117/145(80.7%) hospitals that answered the question reportedhaving a scanner less than six years old (Table 11). Theremaining 28 hospitals should consider updating their CTscanner in line with newer technology.Table 12 demonstrates excellent access to a blood bankfrom emergency departments.Table 11. Age of CT scanners (years)Number of hospitals %0 11 7.61 28 19.32 21 14.53 13 9.04 21 14.55 23 15.96 10 6.97 8 5.58 3 2.19 5 4.910 2 1.4Subtotal 145Not answered 38Total 183Table 12. Blood bank location and 24 hour accessibility24 hour accessibilityProximity Yes No Subtotal Not answered TotalAdjacent 19 0 19 3 22Onsite not adjacent 145 0 145 10 155Offsite 2 0 2 1 3Subtotal 166 0 166 14 180Not answered 0 0 0 3 3Total 166 0 166 17 18327