The Role, Capability and Limitations of Diagnostic Imaging in the Management of Unstable Torso Trauma

Authors

  • Osaree Akaraborworn Division of Trauma and Surgical Critical Care, Department of Surgery, Faculty of Medicine, Prince of Songkla University

Keywords:

Multiple trauma, multimodal imaging, abdominal injuries

Abstract

Diagnostic imaging has been recognized as a useful tool for management in stable trauma patients and it is believed that it has limitation for unstable patients. This article is an evidence based review on the role of diagnostic imaging in unstable torso trauma. Focused Assessment with Sonography for Trauma(FAST) has a great role for diagnostic hemorrhage in blunt abdominal trauma and blood in pericardial stab wounds. Extended-FAST(EFAST) has a promising role for diagnostic pneumothorax and hemothorax and is also useful to confirm the positions after placement of tubes and lines. A CT scan has limited role in unstable patients; however, there are reports that a CT scan can be used to identify sources of bleeding in selected situations. Diagnostic imaging has both capability and limitation in unstable torso trauma. Patient selections for each modality enhance accuracy for the imaging.

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Published

2016-06-30

How to Cite

1.
Akaraborworn O. The Role, Capability and Limitations of Diagnostic Imaging in the Management of Unstable Torso Trauma. Thai J Surg [Internet]. 2016 Jun. 30 [cited 2024 Mar. 28];37(2):68-72. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219983

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Section

Review Articles