Schockraum-Management

Autor: U. Linsenmaier, G. Schueller
Rok vydání: 2010
Předmět:
Zdroj: Notfall + Rettungsmedizin. 13:436-444
ISSN: 1436-0578
1434-6222
DOI: 10.1007/s10049-010-1299-6
Popis: Trauma causes a higher mortality and a higher loss of life-years than tumor and cardiovascular diseases combined. In the age group up to 45 years multiple trauma is the most common cause of death in industrialized countries. An important factor for the prognosis of traumatized patients is the time factor, or more precisely, the time expired until the implementation of a causal therapy. This fact constitutes the underlying commitment for prehospital rescue forces as well as for teams responsible for the early phase emergency care of patients following trauma. The main responsibility of the radiologist, as a member of the trauma team active in the resuscitation room, is to ensure that fitting priority-oriented imaging diagnostics are rapidly carried out on injured patients.On the basis of current scientific knowledge the most suitable diagnostic procedure is computed tomography (CT). Using modern multidetector CT (MDCT) it is possible for the radiologist to provide information on life-threatening injuries within a few seconds. Conventional radiology (CR) has now been almost completely replaced by MDCT. The indications for MDCT are broadening further and even metastabile patients can now be examined with MDCT. Recent studies have shown that survival shows a positive correlation to the performance of a whole-body CT. This article presents the indications for CT of the thorax and abdomen in the early phase of treatment of traumatized patients and the most common types of injuries.
Databáze: OpenAIRE
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