TRAUMA - ADULT
IMAGING IN TRAUMA
PromptFAST
ResponseSee ultrasound - mostly there
PromptPros and cons of panscan vs selective imaging
ResponseControversial area. Biggest study is REACT-2 which found No mortality benefit in WBCT
Time to identifying injuries shorter (50 minutes versus 58 min)
No difference in total radiation dose (both groups ~ 20mSv) – though the range of dose in the selective group 9-22 mSv
Time to identifying injuries shorter (50 minutes versus 58 min)
No difference in total radiation dose (both groups ~ 20mSv) – though the range of dose in the selective group 9-22 mSv
PromptRadiation Doses for CTB and CTAP
Response
Promptindications for a CT angiogram in positive FAST
ResponseIdentify and grade traumatic injuries
Identify active extravasation amenable to interventional radiological management
Identify active extravasation amenable to interventional radiological management