8th Baltic Congress of Radiology

08.10.2022 Tallinn, Estonia

Role of radiology in polytrauma imaging

Vytautas Augustinavičius (Lithuania)

Radiologist, Vilnius University Hospital Santaros Clinic

Biography: Specialized in Emergency and musculoskeletal Radiology. Since residency works at Vilnius University Hospital Santaros Clinics at the Emergency department. Since 2019 works at Vilnius University as lecturer and teaches medical students Emergency and musculoskeletal Radiology.

Presentation

Woodblock Hall

Synopsis: Polytrauma can be defined as significant injury in at least two out of the following six body regions: head, neck and cervical spine; face; chest and thoracic spine; abdomen and lumbar spine; limbs and bony pelvis; external (skin). Multidisciplinary teamwork approach, polytrauma protocols and guidelines improve survival in polytrauma patients, as well as immediate and accurate assessment and therapy of possible life-threatening lesions. Our standard approved examination of severe trauma patients is composed of ATS guidelines. It consists of a primary survey, where E-FAST and cervical spine, chest and pelvis x-rays are performed and a secondary survey, which consists of ultrasound and CT (selective or whole-body). Ultrasound plays a key role in hemodynamically unstable patients detecting free fluid. It cannot reliably exclude a parenchymal injury, therefore, a CT scan must be performed for selected patients. Observing patients for 12 hours assists in excluding life-threatening injury, otherwise a CT examination should be performed.There are wide discussions concerning the of usage of whole-body CT, including, when it is necessary and how it should be performed, in literature, and so far no clear consensus exists.

This agenda item is presented in the following session: S7-5 Emergency Radiology

Plenary session

08.10.2022 13:30 - 15:00