- Rapid mobilization of staffing increased from the typical weekend team of one resident and two attending physicians to two residents and seven attending physicians on-site, with five additional attending physicians providing remote support via the picture archiving and communication system. Technologist staffing expanded from 5 to 20 personnel.
- Enhanced staffing and flexible resource management reduced computed tomography turnaround times from 54 minutes to 28 minutes while maintaining diagnostic accuracy. Radiography turnaround times increased modestly from 43 to 49 minutes.
- Digital radiography was performed in 351 patients, with computed tomography performed in 164 patients. Fifty-four patients underwent both modalities.
- Implementing ad hoc triage at distant CT sites—where handwritten reports accompanied electronic ones when unaccompanied patients with an Injury Severity Score over 15 were identified—proved lifesaving, as about 25% of patients initially considered stable were reclassified with major trauma.
- An AI system delivered median 7-minute alerts for critical findings (intracranial hemorrhage, large vessel occlusion, pulmonary embolism, pneumoperitoneum) with zero report discrepancies.
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