An emergency operation to remove the hemorrhage was successfully performed. Other patients recovered with conservative treatment. There were five major misinterpretations from the 77 cases (6.5%) of orbital plate fractures on face IWR-1 mouse CT, but none of the patients required surgical treatment or experienced persistent functional disorders. There were three major misinterpretations from the 272 cases (1.1%) of spinous process

fractures in the cervical spine, but surgical treatment was not required in any. There were 19 major misinterpretations (6.2%) out of the 306 cases that underwent chest CT (7 costal fractures, 4 transverse process fractures in the thoracic spine, 1 sternum fracture, 1 scapula fracture, 3 pulmonary contusions, 2 cases of pneumothorax, and 1 intercostal artery injury). The patient with intercostal artery trauma did not survive and was categorized as gravity level 3. Three patients with costal fractures and one patient with pneumothorax were categorized selleck as gravity level 2 because a chest drain was required. There were two major misinterpretations from the 295 cases (0.7%) that underwent abdominal CT (1 of liver trauma and 1 of kidney trauma). Neither required any surgical treatment. Anemia did not develop, and both recovered fully without intensive treatment. There were

three misinterpretations out of the 295 cases that underwent pelvic CT (1 each for fractures of the pubis, ischium, and neck of the femur). The patient with the femoral neck fracture was operated on by orthopedic surgeons, but the other two patients did not require any surgical treatment. Anemia did not develop in either case, and both recovered fully without intensive treatment. In the second period, 177 patients presented with blunt trauma, of whom 129 were male and 48 female. In total, emergency CT was used 820 times (171 times for the head, Montelukast Sodium 49 times for the face, 155 times for the neck, 151 times for the chest, 147 times for the abdominal area, and 147 times for the pelvic area). The

mean patient age was 50.3 ± 23.4 years (mean ± SD), and the mean ISS was 11.7 ± 9.1 (mean ± SD). There was no statistically significant difference in mean age or ISS compared with the first period. The cause of trauma was a traffic accident in 99 cases, a fall in 44 cases, and other mechanisms in 34 cases. The accuracy and outcomes of EPs’ interpretation in the second period are shown in Table  4. Of the 820 cases, 10 (1.2%) minor misinterpretations and two (0.2%) major misinterpretations were identified. The improvements between the first and second period were statistically significant. Minor misinterpretations occurred in 2.7% of cases (95% confidence interval, 1.9% to 3.5%) in the first period versus 1.2% of cases (95% confidence interval, 0.5% to 2.