Imaging of Adult Trauma Patients on Admission
CT Spine (C,T,L)
CTA Head/Neck: see BCVI protocol
CTA Extremity: consider if ABI abnormal
CTA Face: for obvious facial deformities
CT Cysto: gross hematuria
CT Abd w/ Rectal contrast: if low pelvis injury concerning.
Indications to consider for Trauma Scan:
· Blunt Trauma Reds
· High-energy Mechanism: MVCs, Pedestrian Struck, BCC, ATVC, Multiple blow Assault
· Elderly (>65 years) Fall from Standing
Dwyer et al. Radiographic assessment of ground-level falls in elderly patients. Is the “PAN-SCAN” overdoing it? Surgery. 2013 Oct; 154(4): 816-20.
Wurmb et al. Whole-body multislice computed tomography (MSCT) improves trauma care in patients requiring surgery after multiple trauma. Emerg Med J. 2011 Apr; 28(4):300-4.
Wurmb et al. Polytrauma management in a period of change: time analysis of new strategies for emergency room treatment. Unfallchirurg. 2009 Apr; 112(4):390-9
Weninger et al. Emergency room management of patients with blunt major trauma: evaluation of the multislice computed tomography protocol exemplified by an urban center. J Trauma. 2007 Mar; 62(3); 584-91.
Do we really need CT in primary evaluation of blunt chest trauma in patients with “normal” CXR? J Trauma 2001; 51:1173-6
Reformatted visceral protocol HCT vs conventional radiographs of T and L spine in blunt trauma patients. J Trauma 2003; 55:665-9
Salim et al. Whole Body Imaging in Blunt Multisystem Trauma Patients without Obvious Signs of Injury. Arch Surg 2006; 141: 468-475.