Imaging in emergency radiology, traumatologic imaging

Question 1

Emergencies in trauma, two groups

Answer 1

Life threatening polytraumas,
and
less significant traumas

Question 2

Acute trauma treatment timeframe

Answer 2

1st hour.

Question 3

Acute imaging

Answer 3

In the first minutes, if rescuesitation is not needed, and the patient can respond to questions

CXR and Ultrasonography

US to quickly check for pleural, pericardial, or abdominal fluid, and to check for any ruptured abdominal organs.

If the patient is unconcious: CT is critical. Multislice spiral CT, MDCT or MSCT can provide full body scan in minute,

and the CT scanner is in the same room as all of the critical resuscitation equipment.

Question 4

Muscle trauma or soft tissue injury first line investigation

Answer 4

Ultrasound, followed by MRI

Question 5

Spinal trauma imaging

Answer 5

MRI for assessment of the spinal cord and to evaluate the 3 lines of the bone.

continuous lines
Anterior vertebral bodies
Posterior vertebral bodies
Spinal-Laminar line

Posterior spinous process line appropriate cervical curvature.

Question 6

Facial bone fractures

Answer 6

plain X ray to check,

MDCT necessary to evaluate and fully elucidate a confirmed fracture and planning how to fix it.

Question 7

Chest trauma

Answer 7

CXR to check for PTX

Question 8

Abdominal traumas

Answer 8

US to rapidly check for major problems, bleeding/fluid, organ rupture

the CT to follow up and give a clear picture.