• Der Radiologe · Sep 2014

    [Imaging of blunt chest trauma].

    • H Prosch and L Negrin.
    • Univ.-Klinik für Radiologie und Nuklearmedizin, Medizinische Universität Wien, Allgemeines Krankenhaus, Währingergürtel 18-22, 1090, Wien, Österreich, helmut.prosch@meduniwien.ac.at.
    • Radiologe. 2014 Sep 1;54(9):886-92.

    Clinical/Methodological IssueBlunt chest trauma is associated with high morbidity and mortality. Consequently, all patients should be evaluated radiologically after blunt chest trauma to allow timely and appropriate treatment.Standard Radiological MethodsConventional chest radiographs and computed tomography (CT) are proven modalities with which to evaluate patients after blunt chest trauma.Methodological InnovationsOver the last several years extended focused assessment with sonography for trauma (eFAST) has gained increasing importance for the initial assessment of seriously injured patients.Practical RecommendationsIn the acute phase of severely injured patients eFAST examinations are helpful to exclude pneumothorax, hemothorax and hemopericardium. Chest radiographs may also be used to diagnose a pneumothorax or hemothorax; however, the sensitivity is limited and CT is the diagnostic modality of choice to evaluate severely injured patients.

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