Table 3:

Consequences of the 70 injuries (62 patients) that were missed by the initial pan-scan

Type of injuryTotal no.Consequence*; no. of injuries
SurgeryChest tubeInterventional procedureAnticoagulation§
Intracranial bleeding1112
Lung contusion11
Unstable spine fracture77
Stable spine fracture73
Liver rupture53
Kidney injury41**
Visceral tear33
Acetabular fracture32
Serial rib fractures2
Extracranial vessel injury22
Facial fracture21
Retroperitoneal bleeding1
Pelvic ring fracture11
  • * In addition to monitoring in the intensive care unit.

  • Injuries that required surgical intervention (e.g., trepanation, thoracotomy, laparotomy, or internal fracture fixation) in addition to usual care.

  • Additional chest drains because of progressive intrathoracic bleeding or pneumothorax that was not visible on the pan-scan scan.

  • § Anticoagulation with heparin for intimal dissection of the carotid artery detected by follow-up computed-tomography angiography ordered because of neurologic deterioration.

  • Intracranial pressure monitors.

  • ** Radiologic coiling intervention for massive kidney bleeding.