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jueves, 22 de junio de 2017

Whole Body CT vs. Selective Imaging in Trauma

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emDocs - Jun 21, 2017 - Authors: Long B & & April M - Edited by: Koyfman A
"Recommendations
  • There are protocols determining need for WBCT in trauma. Most of these take into account mechanism of injury, patient injuries, hemodynamic status, and other studies such as labs and FAST scan, with recommendation to obtain WBCT in patients with abnormal mental status, hemodynamic instability, and suspicion of critical injury.30,65-67
  • Ultimately, the physician should go through their trauma ABC’s and conduct a history and exam. US should be a component of this exam. Patients with concern for severe polytrauma or those who are not clinically evaluable may benefit from WBCT. At this point, in patients who are evaluable with no evidence of polytrauma, selective imaging based on history and exam is recommended."