Effects on mortality, treatment, and time management as a result of routine use of total body computed tomography in blunt high-energy trauma patients

2012 ◽  
Vol 72 (3) ◽  
pp. 553-559 ◽  
Author(s):  
Raoul van Vugt ◽  
Digna R. Kool ◽  
Jaap Deunk ◽  
Michael J. R. Edwards
Keyword(s):  
Computed Tomography ◽  
Time Management ◽  
High Energy ◽  
Trauma Patients ◽  
High Energy Trauma ◽  
Total Body

Clinical and economic effects of selective radiological evaluation of high-energy trauma patients: a prospective experience of a level 1 busy trauma centre

2014 ◽  
Vol 32 (7) ◽  
pp. 535-538 ◽  
Author(s):  
Shahram Paydar ◽  
Armin Ahmadi ◽  
Behnam Dalfardi ◽  
Alireza Shakibafard ◽  
Hamidreza Abbasi ◽  
...  
Keyword(s):  
High Energy ◽  
Trauma Centre ◽  
Economic Effects ◽  
Trauma Patients ◽  
Radiological Evaluation ◽  
High Energy Trauma ◽  
Level 1

scholarly journals Atypical presentation of isolated traumatic ascending aortic dissection with cardiac tamponade

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110606
Author(s):  
Shunya Ono ◽  
Retsu Tateishi ◽  
Masato Shioya ◽  
Yoshihumi Itoda ◽  
Yusuke Tsukioka ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Cardiac Tamponade ◽  
High Energy ◽  
Aortic Injury ◽  
Trauma Patients ◽  
Aortic Replacement ◽  
Threatening Condition ◽  
Ascending Aortic Replacement ◽  
Blunt Traumatic Aortic Injury

Blunt traumatic aortic injury is a rare but life-threatening condition, usually following high-energy trauma. We present the case of a 79-year-old man who was transferred to a hospital complaining of nausea after being struck on the chest. Computed tomography led to diagnosis of ascending aortic dissection with cardiac tamponade. Emergent ascending aortic replacement was performed successfully and he was discharged home on postoperative day 24 without any complications. The key to early diagnosis of blunt traumatic aortic injury is careful and detailed history-taking. If trauma patients complain of unexplained symptoms, the threshold for conducting computed tomography should be lowered to avoid misdiagnosis or therapeutic delay.

scholarly journals Selective computed tomography (CT) versus routine thoracoabdominal CT for high-energy blunt trauma patients

2012 ◽  
Author(s):  
Raoul Van Vugt ◽  
Frederik Keus ◽  
Digna Kool ◽  
Jaap Deunk ◽  
Michael Edwards
Keyword(s):  
Computed Tomography ◽  
Blunt Trauma ◽  
High Energy ◽  
Trauma Patients

scholarly journals Traumatic infra-renal aortic dissection after a high-energy trauma: a case report of a primary missed diagnosis

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Holger Godry ◽  
Guido Rölleke ◽  
Achim Mumme ◽  
Thomas A. Schildhauer ◽  
Martin Gothner
Keyword(s):  
Aortic Dissection ◽  
Ct Scan ◽  
High Energy ◽  
The Body ◽  
Trauma Patients ◽  
Traumatic Injuries ◽  
High Energy Trauma ◽  
Missed Injuries ◽  
Lumbar Vertebral Body ◽  
Life Threatening

A traumatic infra-renal aortic dissection is a rare but life-threatening injury that follows deceleration injuries. The mechanism of blunt abdominal aortic injury involves both direct and indirect forces. The successful management of patients with traumatic injuries depends on a prompt suspicion of the injury and early diagnosis and therapy. Missed injuries in trauma patients are well-described phenomena and implementation of the ATLS® trauma schedule led to a decrease in the number of missed injuries, but trauma computed tomography (CT) scans in injured patients are still not standard. We report on a 54-year old Caucasian female patient who was involved in a car accident. The fellow passenger of the car was seriously injured. The patient had been previously treated at two different hospitals, and a dislocated acetabular fracture had been diagnosed. Because of this injury, the patient was transferred to our institution, a level 1 trauma-center where, according to the nature of the accident as a high-energy trauma, a complete polytrauma management was performed at the time of admission. During the body check, a moderate tension of the lower parts of the abdomen was detected. During the CT scan, an aneurysm of the infra-renal aorta with a dissection from the height of the second lumbar vertebral body to the iliac artery was observed. The patient required an operation on the day of admission. After 19 days post-trauma care the patient was able to leave our hospital in good general condition. Therefore, missed injuries in multiple injury patients could be fatal, and it is essential that the orthopedic surgeon leaves room for suspicion of injuries based on the nature of the trauma. Traumatic injuries of the abdominal aorta are rare. According to the ATLS® trauma schedule, all of the patients who have experienced high-energy trauma and associated fractures should undergo routine screening using a trauma CT scan with contrast agents to detect potential life-threatening injuries. In case of abdominal trauma, an aortic dissection, which can easily be overlooked, has to be considered.

HELICAL COMPUTED TOMOGRAPHY ALONE COMPARED WITH PLAIN RADIOGRAPHS WITH ADJUNCT COMPUTED TOMOGRAPHY TO EVALUATE THE CERVICAL SPINE AFTER HIGH-ENERGY TRAUMA

2005 ◽  
Vol 87 (11) ◽  
pp. 2388-2394
Author(s):  
PATRICK T. MCCULLOCH ◽  
JOHN FRANCE ◽  
DINA L. JONES ◽  
WILLIAM KRANTZ ◽  
THUAN-PHUONG NGUYEN ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
High Energy ◽  
Helical Computed Tomography ◽  
High Energy Trauma ◽  
Plain Radiographs

Usefulness of full spine computed tomography in cases of high-energy trauma: a prospective study

2013 ◽  
Vol 24 (S1) ◽  
pp. 167-171 ◽  
Author(s):  
Masanari Takami ◽  
Kazuhiro Nohda ◽  
Junya Sakanaka ◽  
Masamichi Nakamura ◽  
Munehito Yoshida
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
High Energy ◽  
High Energy Trauma ◽  
A Prospective Study
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