• Med Klin Intensivmed Notfmed · Oct 2011

    Review

    [Imaging in the emergency room].

    • J K Kloth, H-U Kauczor, and W Hosch.
    • Abteilung Diagnostische und Interventionelle Radiologie, Universitätsklinik Heidelberg, Deutschland. Jost.Kloth@med.uni-heidelberg.de
    • Med Klin Intensivmed Notfmed. 2011 Oct 1; 106 (2): 82-8.

    AbstractIn order to reduce mortality in severely injured patients, a rapid radiologic diagnosis is essential. Sonography plays a role only as a focused assessment with sonography for trauma (FAST) to clarify free intraperitoneal fluid immediately on admittance. Today, whole-body multislice helical computed tomography (CT) has become increasingly important as a diagnostic tool. Based on the results of the CT scan, patients can be referred for laparotomy or safely classified for "wait and see" treatment. Although the reduction in injury-related mortality would outweigh the risk of radiation dose, the indiscriminate use of CT for patients with minor injuries is not justified and must be avoided.

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