Whole-body computed tomography in severely injured patients

Stefan Huber-Wagner; Karl-Georg Kanz; Marc Hanschen; Martijn van Griensven; Peter Biberthaler; Rolf Lefering

doi:10.1097/MCC.0000000000000474

Whole-body computed tomography in severely injured patients

Stefan Huber-Wagner^*, Karl-Georg Kanz, Marc Hanschen, Martijn van Griensven, Peter Biberthaler, Rolf Lefering

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

PURPOSE OF REVIEW: To provide an update on the relevant and recent studies on whole-body computed tomography (WBCT) imaging of severely injured patients.

RECENT FINDINGS: The advantages of WBCT in time saving, diagnostic accuracy and even in survival have been proven in numerous studies. WBCT can also be beneficial in haemodynamically unstable major trauma patients. The CT scanner should be located close to the emergency department or even in the trauma room. The issue of radiation is still quite important, however, iterative as well as split-bolus protocols can nowadays reduce radiation significantly. The question: which trauma patient should receive WBCT and which not is not yet solved sufficiently. Postmortem WBCT has a promising potential to promptly define the definitive cause of death of trauma victims comparably to traditional autopsy.

SUMMARY: On account of the recent advances, whole-body CT has become a crucial part of the initial in-hospital assessment of severely injured patients. It is recommended as the standard radiological tool for the emergency diagnostic work-up in major trauma patients.

Original language	English
Pages (from-to)	55-61
Number of pages	7
Journal	Current Opinion in Critical Care
Volume	24
Issue number	1
DOIs	https://doi.org/10.1097/MCC.0000000000000474
Publication status	Published - Feb 2018
Externally published	Yes

Keywords

Autopsy
Emergency Service, Hospital
Humans
Injury Severity Score
Multiple Trauma/diagnostic imaging
Patient Selection
Radiation Exposure/prevention & control
Tomography, X-Ray Computed
Whole Body Imaging

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10.1097/MCC.0000000000000474

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title = "Whole-body computed tomography in severely injured patients",

abstract = "PURPOSE OF REVIEW: To provide an update on the relevant and recent studies on whole-body computed tomography (WBCT) imaging of severely injured patients.RECENT FINDINGS: The advantages of WBCT in time saving, diagnostic accuracy and even in survival have been proven in numerous studies. WBCT can also be beneficial in haemodynamically unstable major trauma patients. The CT scanner should be located close to the emergency department or even in the trauma room. The issue of radiation is still quite important, however, iterative as well as split-bolus protocols can nowadays reduce radiation significantly. The question: which trauma patient should receive WBCT and which not is not yet solved sufficiently. Postmortem WBCT has a promising potential to promptly define the definitive cause of death of trauma victims comparably to traditional autopsy.SUMMARY: On account of the recent advances, whole-body CT has become a crucial part of the initial in-hospital assessment of severely injured patients. It is recommended as the standard radiological tool for the emergency diagnostic work-up in major trauma patients.",

keywords = "Autopsy, Emergency Service, Hospital, Humans, Injury Severity Score, Multiple Trauma/diagnostic imaging, Patient Selection, Radiation Exposure/prevention & control, Tomography, X-Ray Computed, Whole Body Imaging",

author = "Stefan Huber-Wagner and Karl-Georg Kanz and Marc Hanschen and {van Griensven}, Martijn and Peter Biberthaler and Rolf Lefering",

year = "2018",

month = feb,

doi = "10.1097/MCC.0000000000000474",

language = "English",

volume = "24",

pages = "55--61",

journal = "Current Opinion in Critical Care",

issn = "1070-5295",

publisher = "Lippincott Williams and Wilkins Ltd.",

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T1 - Whole-body computed tomography in severely injured patients

AU - Huber-Wagner, Stefan

AU - Kanz, Karl-Georg

AU - Hanschen, Marc

AU - van Griensven, Martijn

AU - Biberthaler, Peter

AU - Lefering, Rolf

PY - 2018/2

Y1 - 2018/2

N2 - PURPOSE OF REVIEW: To provide an update on the relevant and recent studies on whole-body computed tomography (WBCT) imaging of severely injured patients.RECENT FINDINGS: The advantages of WBCT in time saving, diagnostic accuracy and even in survival have been proven in numerous studies. WBCT can also be beneficial in haemodynamically unstable major trauma patients. The CT scanner should be located close to the emergency department or even in the trauma room. The issue of radiation is still quite important, however, iterative as well as split-bolus protocols can nowadays reduce radiation significantly. The question: which trauma patient should receive WBCT and which not is not yet solved sufficiently. Postmortem WBCT has a promising potential to promptly define the definitive cause of death of trauma victims comparably to traditional autopsy.SUMMARY: On account of the recent advances, whole-body CT has become a crucial part of the initial in-hospital assessment of severely injured patients. It is recommended as the standard radiological tool for the emergency diagnostic work-up in major trauma patients.

AB - PURPOSE OF REVIEW: To provide an update on the relevant and recent studies on whole-body computed tomography (WBCT) imaging of severely injured patients.RECENT FINDINGS: The advantages of WBCT in time saving, diagnostic accuracy and even in survival have been proven in numerous studies. WBCT can also be beneficial in haemodynamically unstable major trauma patients. The CT scanner should be located close to the emergency department or even in the trauma room. The issue of radiation is still quite important, however, iterative as well as split-bolus protocols can nowadays reduce radiation significantly. The question: which trauma patient should receive WBCT and which not is not yet solved sufficiently. Postmortem WBCT has a promising potential to promptly define the definitive cause of death of trauma victims comparably to traditional autopsy.SUMMARY: On account of the recent advances, whole-body CT has become a crucial part of the initial in-hospital assessment of severely injured patients. It is recommended as the standard radiological tool for the emergency diagnostic work-up in major trauma patients.

KW - Autopsy

KW - Emergency Service, Hospital

KW - Humans

KW - Injury Severity Score

KW - Multiple Trauma/diagnostic imaging

KW - Patient Selection

KW - Radiation Exposure/prevention & control

KW - Tomography, X-Ray Computed

KW - Whole Body Imaging

U2 - 10.1097/MCC.0000000000000474

DO - 10.1097/MCC.0000000000000474

M3 - (Systematic) Review article

C2 - 29140964

SN - 1070-5295

VL - 24

SP - 55

EP - 61

JO - Current Opinion in Critical Care

JF - Current Opinion in Critical Care

IS - 1

ER -

Whole-body computed tomography in severely injured patients

Abstract

Keywords

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