Siemens AG Medical Solutions

New Trauma Concept by Siemens Provides for Faster Diagnostics

Siemens Medical Solutions introduces a new concept for improving the workflows for treating trauma patients in the hospital. The objective of the solution developed together with physicians is to stabilize, diagnose and prepare seriously injured emergency patients for additional treatment as quickly and as effectively as possible. Essentially, the trauma equipment consists of five components: a patient transport system developed especially for this purpose, a life support trolley (LST) that is coupled to a transport system, a treatment table named Koordinat ORT, a flexible X-ray system Vertix MD Trauma and a mobile Computed Tomography system. Today a number of hospitals in Holland (Amsterdam), Austria (Linz, Wels) and Germany (Wolfsburg, Würzburg, Ingolstadt) already work with this new trauma solution that ensures better and faster patient care, optimizes workflow and reduces costs considerably.

After the initial diagnosis at the scene of the accident, the patient is first brought to the shock room and from there to intensive care via radiology or the OR. It is of special and frequently life-saving importance to keep patient repositioning to an absolute minimum during those first, highly critical hours in the hospital. These requirements are fully met by the patient transporter which moves the injured from the ambulance to the shock room and from there to the OR or intensive care. Without repositioning the patient, he can be examined on any of the treatment tables. To continuously monitor the patient during the diagnostic and therapeutic process, the patient transporter is coupled to a life support trolley (LST). The trolley includes a full set of anaesthesiological equipment including i.e. artificial respiration, and monitoring. The patient is connected to the LST via catheters, respiratory tubing and monitoring cable - whether he is on the examination table or on the patient transporter.

To optimally apply the interconnecting workflows, ideally two rooms are required that are separated by a motor-driven radiation protection door. Both rooms can be used as a shock room or as an alternative, one room can be used as a shock room while the other handles routine and/or interventional examinations. But also one-room solutions are possible. A treatment table named Koordinat ORT is used where radiologists, anaesthesiologists, and surgeons can work on the patient simultaneously. The table as well as the ceiling-suspended mobile X-ray system Vertix MD Trauma are part of the trauma concept by Siemens. The X-ray system provides for a fast first diagnosis and supports anaesthesiological stabilization and monitoring measures. The U-bracket of the system is highly flexible, can be rotated and tilted and is equipped with a flat detector. The “instant image” generated with digital FD technology provides the physician with a fast overview of the injuries sustained by the patient. It is also possible to use imaging plate cassettes.

For complete organ diagnostics, a mobile computed tomograph (CT) is installed. The system moves along rails and its scan range covers the patient's entire body. When required, the system moves out of its park position to the patient and scans the patient in either head first or feet first position. The most optimal CT to be used is a system providing for high-speed volume scans, preferably the Somatom Sensation 16 or Somatom Emotion by Siemens. The new Somatom Sensation Open provides for an optimal solution since the larger opening allows for improved access to the patient.

This technically completely new trauma concept by Siemens allows for complete diagnosis and anaesthesiological stabilization in the shortest time possible. This allows for optimally planned and performed operations. Patients are cared for in the best possible way and consequential damages can be reduced as much as possible. The diagnostic equipment for the shock room can be adjusted to the specific requests of customers, including individual components adapted to existing systems.

“We have introduced the new trauma concept as the first Trauma Center in 2004. During the first year, our time savings per trauma patient was an average of 30 minutes. By now it has increased to 45 minutes per patient,” expained Dr. Jan S.K. Luitse, medical director of the emergency department and trauma coordinator at the Academic Medical Center in Amsterdam, Netherlands.“ Currently, 95 per cent of the trauma patients undergo their complete diagnostic workup in the shock room. Beginning in August 2005, we will start a prospective randomized trial that will measure the clinical effect of the Trauma Concept on trauma patients, in order to supply an evidence-based foundation.“

Background information:

Trauma is a synonym for injury. The field of traumatology is the study and treatment of the traumatized, accident victims who are brought to the hospital with frequently more than one injury (polytraumatized). Quick treatment of the injured as well as prevention of additional injuries are of primary importance for these patients. The most important criterium is time. The most essential diagnoses have to be made in the so-called “golden hour of shock“ so that life-threatening injuries are treated as quickly as possible and long-term damages are greatly reduced. The more time a diagnosis requires or the longer a targeted therapy is delayed, the higher the risk of permanent injuries.

Siemens Medical Solutions is one of the world’s largest suppliers to the healthcare industry. The company is known for bringing together innovative medical technologies, healthcare information systems, management consulting, and support services, to help customers achieve tangible, sustainable, clinical and financial outcomes. From imaging systems for diagnosis, to therapy equipment for treatment, to patient monitors to hearing instruments and beyond, Siemens innovations contribute to the health and well-being of people across the globe, while improving operational efficiencies and optimizing workflow in hospitals, clinics, home health agencies, and doctors' offices. Employing approximately 31,000 people worldwide and operating in more than 120 countries, Siemens Medical Solutions reported sales of 7.07 billion EUR, orders of 8.12 billion EUR and group profit of 1,05 billion EUR for fiscal 2004.

Further information can be found under: www.siemens.com/medical