Fig. 2

Timeline indicating the time of initiation of CT scanning and emergency procedures, including damage control surgery and endovascular intervention, in the Hybrid ER. The black arrow indicates the time required for preparation until initiation of the next procedure. Photograph a showing early CT examination performed by the sliding CT scanner on the same trauma table. Photograph b showing trepanation and ICP sensor placement for SDH and SAH performed by one brain surgeon. Photograph c showing thoracotomy for left lobe resection performed by three chest surgeons. Photograph d showing TEVAR for thoracic aorta injury performed by four vascular surgeons. These procedures were performed sequentially at different times. During surgeries, at least two emergency physicians always perform anaesthesia management. ER and trauma physicians can also perform cardiorespiratory management and administer anaesthesia while the others are engaged in surgery. The sliding CT scanner is moved to the adjacent CT suite during operative procedures