Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma.

Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma. Research Abstract Details 

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Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma. Abstract Text:

T N Nau,D D Dwyer,D G Glenn,

Aim Whole-body multislice CT-Scanning (MSCT) has become the primary imaging device in many European and North American trauma centres. We aim to present a new standardised protocol that has lead to a markedly improved diagnostic managment in an Australian metropolitan trauma centre. Methods Based on growing evidence in the literature the MSCT is used as the primary imaging tool in severely injured patients and is routinely performed after completion of primary and secondary survey. The routine protocol consists of a non-contrast head and cervical spine CT, followed by a contrast chest, abdomen and pelvic CT. Apart from an initial chest X-Ray, routine X-ray trauma series are not performed anymore. The criteria for this whole-body MSCT are strictly limited to patients that required trauma team activation and can be sufficiently stabilised in the emergency room. Results This adapted diagnostic algorithm has shown to be very fast and efficient. The average duration of initial management can be reduced significantly, in addition the number of initially missed injuries is markedly reduced. Conclusions Primary whole-body MSCT has become a valuable diagnostic tool in the emergency management of severe trauma. A strictly followed protocol has been shown to be crucial to avoid overuse, in terms of radiation as well as exposing the unstable patient to an unnecessary high risk.

Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma. Publishing Authors By Initials

TN Nau,DD Dwyer,DG Glenn,

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Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: ANZ journal of surgery

VOLUME: 77 Suppl 1

Page Numbers: A94

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ISSN: 1445-1433

DAY: 10

MONTH: May

YEAR: 2007

Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Ts05 whole-body multislice ct-scanning as primary imaging tool in the emergency management of severe trauma.

AFFILIATION: St George Hospital, UNSW, Sydney, New South Wales, Australia.

Country: Australia

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MEDLINETA: ANZ J Surg

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