There are plenty of other issues with pan scanning:
1. Clinically Insignificant Injuries
More scanning leads to more radiation exposure and higher chances of developing a malignancy in future. Click here to calculate risk of malignancy with various imaging studies.
3. Skipping examination because we are doing a CT
4. Holding life-saving treatment
5. Cost and Utilisation of Resources
Pan-Scanning can cost anywhere between 20,000-30,000 INR at a private hospital in India. In government run healthcare systems, the issue is wastage of time and resources.
- Surendran A, et al. Systematic review of the benefits and harms of whole-body computed tomography in the early management of multitrauma patients: are we getting the whole picture? J Trauma Acute Care Surg. 2014 Apr; 76(4):1122-30.
- Holmes JF, Wisner DH, McGahan JP, et al. Clinical prediction rules for identifying adults at very low risk for intra-abdominal injuries after blunt trauma. Ann Emerg Med. 2009; 54:575-584.
Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial Sierink, Joanne C et al. The Lancet , Volume 388 , Issue 10045 , 673 - 683