European Radiology

, Volume 8, Issue 9, pp 1630–1638 | Cite as

Standardized CT examination of the multitraumatized patient

  • B. Leidner
  • M. Adiels
  • P. Aspelin
  • P. Gullstrand
  • S. Wallén
Computed tomography

Abstract.

The aim of this study was to develop a standardized non-helical-CT protocol including head, body and proximal extremities in order to achieve a good time efficiency and diagnostic accuracy in the initial radiological evaluation of the multitraumatized patient. A total of 111 circulatory stable blunt trauma patients, brought in to a trauma level II–III hospital, were examined according to a standardized CT protocol. After examining the head with contiguous 10-mm slices without IV contrast medium injection, the trunk was examined with 10-mm slices every 30 mm through thorax–abdomen–pelvis with IV contrast medium enhancement (occasionally modified). All data in the medical reports were collected and used as “end-point”, and the outcome of the CT examination was compared with this final diagnosis. Mean examination time was 20 min (range 12–32 min). In total, 55 head injuries, 89 thoracic injuries, 27 abdominal/pelvic injuries and 62 fractures were found. Computed tomography correctly identified the injuries, except one brain stem injury, one contusion/rupture of the heart, one hepatic injury, two intestinal injuries, eight vertebral injuries and one joint dislocation. A standardized non-helical-CT examination of the head and body may be achieved in 20 min. Its diagnostic accuracy was high, except for vertebral column injuries, which is why we recommend it as the method of choice for initial radiological examination of multitraumatized patients. When available, helical scanning would improve both examination speed and accuracy.

Key words: Multiple trauma CT examination CT diagnosis CT protocol 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • B. Leidner
    • 1
  • M. Adiels
    • 1
  • P. Aspelin
    • 3
  • P. Gullstrand
    • 2
  • S. Wallén
    • 2
  1. 1.Department of Diagnostic Radiology, Oskarshamn Hospital, S-572 28 Oskarshamn, SwedenSE
  2. 2.Department of Surgery, Oskarshamn Hospital, S-572 28 Oskarshamn, SwedenSE
  3. 3.Department of Diagnostic Radiology, Huddinge University Hospital, S-141 86 Huddinge, SwedenSE

Personalised recommendations