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0 5 25 75 95 100 www.healthcare-in-europe.com 19 EH @ ECR on user experience. Mindray’s proprietary and pio- neering technology positions the Resona 7 system, elevating clinical intelligence to a new level with a complete solution that enables clini- cians to manage both routine and advanced studies more efficiently, consistently, and accurately, from imaging acquisition through to cal- culation. Of special note is the fact that the Resona 7 is the first premium ultrasound system solely developed by a Chinese manufacturer, the fruit of collaboration between research teams based in Shenzhen, China and in California, USA. The need for emergency MRI ‘Emergency MRI is performed primar- ily to answer paediatric, neurological and musculoskeletal questions. Blunt trauma of the torso, except certain heart injuries, and acute neurological issues, don’t necessarily indicate an emergency MR scan. The following questions help to decide whether MRI is required: 1) Can only MRI answer the ques- tion at hand, or are there other important reasons to prefer MRI, such as radiation exposure in chil- dren? 2) If yes: is a treatment decision required that will be influenced by the result of the emergency MR scan, such as surgery versus no surgery? 3) If yes: does at least one of the therapy options, based on the MRI results, need immediate action because, otherwise, the patient would suffer irreversible damage, such as re-fixation of joint cartilage? ‘If the answers to questions one through 3 suggest emergency MRI, limiting the sequences in number and respective time efforts might be discussed to arrive at a quick treat- ment decision.’ Emergency logistics, technol- ogy and staff limitations ‘You name them, we’ve got them; there are building issues, such as short routes, or whether the CT is located in the shock room. Which equipment is available – when and how many devices are available? What types of professional qualifica- tions are available? In Germany, there is a severe shortage of radiology technical assistants because training takes a long time and is expensive and career opportunities are limited – as is the salary. ‘Many privately funded institutions offer attractive packages with regard to night shifts and salary, sometimes even a ‘poaching bonus’. Thus large public healthcare facilities in metro- politan areas have serious staffing problems. However, without the radi- ology assistant there is no radiology! That might sound overly dramatic, but indeed currently it is a huge issue. A colleague said: ‘In emergency medicine radiologists are increas- ingly patient managers.’ ‘The success of any emer- gency treatment depends on two things: standards and experience. Emergencies such as polytrauma, or the sudden increase in patient num- bers following massive accidents, are practised regularly. It sounds more complicated than it actually is, and can be achieved easily, as long as you keep the standards simple. If you only have one standard protocol it is quite trivial to spread knowledge and experience over the team. It is just a variant of ‘Keep it simple and straightforward’ (the KISS principle). ‘I’m talking above all about stand- ards such as CT protocols. In general, quality management is also fully inte- grated in the workflows to ensure parameters, continuous improvement and instruments are part of quality control. We also look at interfaces, for example in the context of morbid- ity and mortality conferences.’ Polytrauma with blunt cervico-thoracic penetrating injury iFusion: Fusion imaging features precise matching of ultrasound and MRI image thanks to revolutionary respiration compensation technique ECR 2016 Saturday 5 March 8:30–10:00 a.m. Room D1 Severe trauma patients: myths, realities and future (SF 13d)

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