Tuesday, March 9, 2021

Chest-CT and Occult Injuries

The Trauma Pro - March 09, 2021 - By The Trauma Pro
There are major belief systems when it comes to the use of trauma CT: selective scan vs pan scan. The selective scanners believe that too much radiation can be bad, and that the risk of excess exposure outweighs the value of scanning everything. The pan scanners believe that valuable information might be missed unless they routinely image everything.Who is right? There’s probably value in each side of the argument. But do we have data? Good data? Two emergency medicine groups from UC-Irvine and UC-San Diego tried to answer this question via a prospective study involving 10 Level I trauma center EDs in California. They tagged onto data collection underway for the NEXUS chest and chest CT studies from 2009-2012...
The authors concluded that occult injuries were found in 71% of their patients, with the majority of those “requiring” chest tubes. They recognized some of the shortcomings in their study and stopped short of recommending a pan-scan type approach to major chest trauma...”