The use of low dosage X-ray (Lodox/Statscan) in major trauma: Comparison between low dose X-ray and conventional X-ray techniques

Background: Patients presenting with major trauma normally require resuscitation, usually carried out according to techniques laid down by the Advanced Trauma Life Support (ATLS) Program of the American College of Surgeons. Techniques normally suggested include the routine radiology of the cervical spine, chest and pelvis. This can sometimes be time consuming and may not return helpful information in all cases. Methods: This paper describes the use of a new low dose X-ray technique (Lodox/Statscan to perform these X-rays, and compares their interpretation by both radiologists and trauma surgeons with images obtained from conventional X-rays. The time taken for the respective images to be obtained was measured. Results: There was no difference in the amount of information obtained. Conclusion: The use of the Lodox allowed a substantial reduction in the time taken for resuscitation, without prejudice to diagnostic radiology.