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Emergency Medicine International
Volume 2013, Article ID 437078, 6 pages
Research Article

Full-Body X-Ray Imaging to Facilitate Triage: A Potential Aid in High-Volume Emergency Departments

1Department of Human Biology, University of Cape Town, Observatory, Cape Town 7925, South Africa
2Lodox Systems, 7 Dartfield Road, Sandton, Johannesburg 2146, South Africa
3Trauma Unit, Charlotte Maxeke Johannesburg Academic Hospital, Private Bag X 39, Johannesburg 2000, South Africa

Received 5 August 2013; Accepted 26 August 2013

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2013 S. P. Whiley et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The levels of traumatic injury seen in South African emergency departments (EDs) are epidemic. This is coupled with a severe lack of resources and adequately trained emergency staff. The Lodox Statscan (LS) is an X-ray scanner capable of producing rapid, low-dose, and full-body X-ray images. In this paper, a new trauma protocol—the Johannesburg trauma protocol—that implements LS scanning on entry to the ED as a triage tool is reported. A case study illustrating the use of LS to triage 63 patients in a single Saturday shift at a level 1 Trauma Centre is also presented. Because of the ability to rapidly and safely provide X-ray imaging information to support clinical decision making, the LS could be a useful tool to aid in resource allocation to improve treatment of the high levels of trauma patients that present to South African EDs daily.