Predictive Value of the Initial Trauma Survey: Is Our Hunch Good Enough?

[...]any significant orthopedic injuries discovered on the abdominal CT scan, including pelvic fractures requiring operation or changes in weight-bearing status and lumbar spine fractures excluding transverse process fractures, were included as abdominal injuries. [...]scanning each body region of a...

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Bibliographic Details
Published in:The American surgeon 2018-08, Vol.84 (8), p.282-284
Main Authors: Cull, John D., Mayberry, Whitney E., Firestone, Alicia, Cardin-Pozo, Stefano, Wert, Mary Van, Entriken, Catherine, Rozier, Richard T., Ewing, Joseph, Trammell, Amy, Kaiser, Meghann
Format: Article
Language:English
Subjects:
Abdomen
Computed tomography
Fractures
Head injuries
Injuries
Medical imaging
Orthopedics
Patients
Radiation effects
Scanners
Scanning
Surgeons
Surgery
Trauma
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Summary:[...]any significant orthopedic injuries discovered on the abdominal CT scan, including pelvic fractures requiring operation or changes in weight-bearing status and lumbar spine fractures excluding transverse process fractures, were included as abdominal injuries. [...]scanning each body region of a predominantly young trauma population carries as yet unquantified risks of cancer and other untoward effects of radiation, especially in the thyroid, breasts, and eyes. [...]there is yet a third camp on pan scanning which reasons that it may be appropriate for some institutions (e.g., tertiary care referral centers with rapid availability to CT scanners and radiologists but proportionately few beds) and less advantageous in other practice settings (e.g., large county-type hospitals with many beds and residents but are otherwise somewhat resource poor).
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481808400805