Clinical management of active bleeding: what the emergency radiologist needs to know.

Autor: Whitesell RT; Division of Emergency Radiology, Midwest Radiology, 2355 Highway 36 West, Roseville, MN, USA. Ryan.Whitesell@MidwestRadiology.com., Nordman CR; Division of Interventional Radiology, Midwest Radiology, 2355 Highway 36 West, Roseville, MN, USA. Cory.Nordman@MidwestRadiology.com., Johnston SK; Division of Emergency Radiology, Midwest Radiology, 2355 Highway 36 West, Roseville, MN, USA. Sean.Johnston@MidwestRadiology.com., Sheafor DH; Division of Emergency Radiology, Midwest Radiology, 2355 Highway 36 West, Roseville, MN, USA. Douglas.Sheafor@MidwestRadiology.com.
Jazyk: angličtina
Zdroj: Emergency radiology [Emerg Radiol] 2024 Dec; Vol. 31 (6), pp. 903-918. Date of Electronic Publication: 2024 Oct 14.
DOI: 10.1007/s10140-024-02289-z
Abstrakt: Active bleeding is a clinical emergency that often requires swift action driven by efficient communication. Extravasation of intravenous (IV) contrast on computed tomography (CT) is a hallmark of active hemorrhage. This can be seen on exams performed for a variety of indications and can occur anywhere in the body. As both traumatic and non-traumatic etiologies of significant blood loss are clinical emergencies, exams demonstrating active bleeding are often performed in emergency departments and read by emergency radiologists. Prompt communication of these findings to the appropriate emergency medicine and surgical providers is crucial. Although many types of active hemorrhage can be managed by interventional radiology techniques, endoscopic and surgical management or clinical observation may be appropriate in certain cases. To facilitate optimal care, it is important for emergency radiologists to understand the scope of indications for embolization of bleeding by interventional radiologists (IR) and when an IR consultation is warranted. Similarly, timely comprehensive diagnostic radiology reporting including pertinent positive and negative findings tailored for IR colleagues can expedite the appropriate intervention.
Competing Interests: Declarations. Conflict of interest: The authors declare no conflict of interest.
(© 2024. The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER).)
Databáze: MEDLINE
Externí odkaz: