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ZA, IDC: Have made substantial contributions to selleck conception and design. SG, AAM: acquisition of data. AA, MD: analysis and interpretation of data. AT, ZA: have been involved in drafting the manuscript. IDC: revising it critically for important intellectual content. AA, MD, SG, AAM: have given final approval of the version to be published. ZA: agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All authors read and approved the final manuscript.”
“Introduction In recent years, the use of computed tomography (CT) has enabled rapid and accurate diagnoses in cases of primary trauma [1–5]. CT can be used to detect injuries that are otherwise invisible, but this requires a high level of skill in interpretation. Regular corroboration by a radiologist is therefore necessary to maintain an acceptable level

of accurate diagnoses. However, some studies have reported real-time interpretation by a radiologist to be impossible Tryptophan synthase because of a serious shortage of radiologists [6, 7]. Additionally, in Japan, emergency physicians (EPs) must currently interpret CT results themselves to decide on a suitable treatment plan in many trauma cases. Even a slight misdiagnosis may cause death in severe multiple trauma. Most EPs have abundant knowledge of trauma and a high level of skill in primary trauma care, but they cannot provide adequate treatment if they do not correctly identify injured organs. EPs are therefore required to have a high level of skill in interpreting CT results, while knowing that they should always exercise caution in doing so.

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