Abstract
Traumatic injuries are the leading cause of death of individuals between the ages of 1 and 44 in the USA with both blunt thorax and abdominal trauma causing significant morbidity and mortality. Appropriate utilization of imaging is essential to the management of trauma. Understanding both the initial and secondary imaging modalities of choice based on the trauma severity, location of injury, and clinical condition is important. Initial imaging must allow for rapid identification of life-threatening injuries, as rapid stabilization in the initial hours after injury is essential. Secondary imaging then provides a detailed evaluation of all injuries potentially affecting patient outcomes. This chapter is an evidence-based review of the appropriate imaging for patients with blunt thoracic and abdominal trauma.
References
O’Connor JV, Adamski J. J R Army Med Corps. 2010;156(1):5–14.
Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2013 [database on the Internet]. Centers for Disease Control and Prevention (2015) http://www.cdc.gov/nchs/data_access/cmf.htm – documentation http://wonder.cdc.gov/controller/datarequest/D105
Corso P, Finkelstein E, Miller T, et al. Inj Prev. 2006;12(4):212–8.
Owens P, Russo CA, Stocks CF, Costs of Hospital Admissions for Injury. HCUP statistical brief #18. November 2006. Rockville: Agency for Healthcare Research and Quality; 2004. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb18.pdf
Kaewlai R, Avery LL, Asrani AV, et al. Radiographics. 2008;28(6):1555–70.
Patterson BO, Holt PJ, Cleanthis M, et al. Br J Surg. 2012;99(4):494–505.
American College of Surgeons (2008) Advanced trauma life support for doctors ATLS: manuals for coordinators and faculty (8th edn). American College of Surgeons, Chicago, IL
Wisbach GG, Sise MJ, Sack DI, et al. J Trauma. 2007;62(1):74–8. discussion 8–9
Smith-Bindman R, Lipson J, Marcus R, et al. Arch Intern Med. 2009;169(22):2078–86.
Brenner DJ, Hall EJ. N Engl J Med. 2007;357(22):2277–84.
Korley FK, Pham JC, Kirsch TD. JAMA. 2010;304(13):1465–71.
Battle CE, Hutchings H, Evans PA. Injury. 2012;43(1):8–17.
Rodriguez RM, Anglin D, Langdorf MI, et al. JAMA Surg. 2013;148(10):940–6.
Kea B, Gamarallage R, Vairamuthu H, et al. Am J Emerg Med. 2013;31(8):1268–73.
Rodriguez RM, Langdorf MI, Nishijima D, et al. PLoS Med. 2015;12(10):e1001883.
Janjua KJ, Sugrue M, Deane SA. J Trauma. 1998;44(6):1000–6. discussion 6–7
Ekeh AP, Saxe J, Walusimbi M, et al. J Trauma. 2008;65(2):354–9.
Velmahos GC, Tabbara M, Gross R, et al. Arch Surg. 2009;144(5):413–9. discussion 9–20
Nishijima DK, Simel DL, Wisner DH, et al. JAMA. 2012;307(14):1517–27.
Drost TF, Rosemurgy AS, Kearney RE, et al. Am Surg. 1991;57(2):126–8.
Catre MG. Can J Surg. 1995;38(2):117–22.
AIUM Practice Guideline for the Performance of the Focused Assessment With Sonography for Trauma (FAST) Examination. J Ultrasound Med. 2014;33(11):2047–56.
Stengel D, Bauwens K, Sehouli J, et al. Br J Surg. 2001;88(7):901–12.
van Vugt R, Kool DR, Deunk J, et al. J Trauma Acute Care Surg. 2012;72(3):553–9.
Stengel D, Ottersbach C, Matthes G, et al. CMAJ. 2012;184(8):869–76.
Yeguiayan JM, Yap A, Freysz M, et al. Crit Care. 2012;16(3):R101. https://doi.org/10.1186/cc11375.
Heilbrun ME, Chew FS, Tansavatdi KR, et al. J Am Coll Radiol. 2005;2(11):889–95.
Livingston DH, Lavery RF, Passannante MR, et al. J Trauma. 1998;44(2):273–80. discussion 80–2
Joseph DK, Kunac A, Kinler RL, et al. Am J Surg. 2013;205(4):414–8.
Sheng AY, Dalziel P, Liteplo AS, et al. Emerg Med Int. 2013;2013:678380.
Sirlin CB, Brown MA, Andrade-Barreto OA, et al. Radiology. 2004;230(3):661–8.
Omert L, Yeaney WW, Protetch J. Am Surg. 2001;67(7):660–4.
Exadaktylos AK, Sclabas G, Schmid SW, et al. J Trauma. 2001;51(6):1173–6.
Stengel D, Bauwens K, Rademacher G, et al. Cochrane Database Syst Rev. 2013;7:CD004446.
Giannoudis PV. Lancet. 2009;374(9685):197. author reply 8–9
Huber-Wagner S, Lefering R, Qvick LM, et al. Lancet. 2009;373(9673):1455–61.
Salim A, Sangthong B, Martin M, et al. Arch Surg. 2006;141(5):468–73. discussion 73–5
Sierink JC, Saltzherr TP, Reitsma JB, et al. Br J Surg. 2012;99(Suppl 1):52–8.
Debnath J. Ann Emerg Med. 2012;60(2):244. author reply 5–6
Inaba K, Branco BC, Lim G, et al. J Trauma. 2011;70(6):1366–70.
Jindal A, Velmahos GC, Rofougaran R. World J Surg. 2002;26(1):13–6.
Asha S, Curtis KA, Grant N, et al. Emerg Med Australas. 2012;24(1):43–51.
Sierink JC, Saltzherr TP, Beenen LF, et al. BMC Emerg Med. 2012;12:4.
Sierink JC, Treskes K, Beenen LF, et al (2015) Radiological Society of North America 2015 Scientific Assembly and Annual Meeting; 2015 12/3/2015, RSNA, Chicago, IL
Stuhlfaut JW, Soto JA, Lucey BC, et al. Radiology. 2004;233(3):689–94.
Stafford RE, McGonigal MD, Weigelt JA, et al. Arch Surg. 1999;134(6):622–6. discussion 6–7
Clancy TV, Ragozzino MW, Ramshaw D, et al. Am J Surg. 1993;166(6):680–4. discussion 4–5
Anderson SW, Soto JA, Lucey BC, et al. Radiology. 2008;246(2):410–9.
Mulligan JM, Cagiannos I, Collins JP, et al. J Urol. 1998;159(1):67–70.
Ortega SJ, Netto FS, Hamilton P, et al. BMC Urol. 2008;8:3. https://doi.org/10.1186/1471-2490-8-3.
Taourel P, Vernhet H, Suau A, et al. Eur J Radiol. 2007;64(1):73–82.
Uyeda J, Anderson SW, Kertesz J, et al. Abdom Imaging. 2010;35(3):280–6.
Uyeda J, Anderson SW, Kertesz J, et al. Emerg Radiol. 2010;17(2):131–7.
Uyeda JW, LeBedis CA, Penn DR, et al. Radiology. 2014;270(1):99–106.
Pinto F, Miele V, Scaglione M, et al. Acta Radiol. 2014;55(7):776–84.
Nguyen D, Platon A, Shanmuganathan K, et al. AJR Am J Roentgenol. 2009;192(1):3–10. https://doi.org/10.2214/AJR.07.3702.
Foster BR, Anderson SW, Uyeda JW, et al. Radiology. 2011;261(3):787–95.
Ramchandani P, Buckler PM. AJR Am J Roentgenol. 2009;192(6):1514–23.
Chan DP, Abujudeh HH, Cushing GL Jr, et al. AJR Am J Roentgenol. 2006;187(5):1296–302.
Vaccaro JP, Brody JM. Radiographics. 2000;20(5):1373–81.
Santucci RA, McAninch JW, Safir M, et al. J Trauma. 2001;50(2):195–200.
Acknowledgment
The authors would like to acknowledge the work of Dr. Frederick A. Mann. This current chapter represents updates of his chapter (Blunt Injuries to the Thorax and Abdomen in Medina LS et al., eds: Evidence-Based Imaging: Improving the Quality of Imaging in Patient Care. NY: Springer Science; 2011), incorporating the most current evidence.
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Eisenmenger, L.B., Aldred, B., Heilbrun, M.E. (2018). Blunt Injuries to the Thorax and Abdomen in Adults: Evidence-Based Emergency Imaging. In: Kelly, A., Cronin, P., Puig, S., Applegate, K. (eds) Evidence-Based Emergency Imaging. Evidence-Based Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-67066-9_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-67066-9_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-67064-5
Online ISBN: 978-3-319-67066-9
eBook Packages: MedicineMedicine (R0)