lung contusion is an entity involving injury to the alveolar capillaries, without any tear or cut in the lung tissue. this results in accumulation of blood and other fluids within the lung tissue. the excess fluid interferes with gas exchange leading to hypoxia. the pathophysiology of lung contusion includes ventilation/perfusion mismatching, increased intrapulmonary shunting, increased lung wa...

methods multidetector ct-scan and explorative laparotomy of the patients with blunt abdominal trauma were assessed retrospectively. characteristics of the injuries were categorized on the basis of the american association for the surgery of trauma (aast) grading system and the findings were analyzed using kappa test. results the findings of 35 patients were analyzed. according to the kappa test...

introduction: using pan or selective computed tomography (ct) scan in management of multiple trauma patient is a matter of debate. therefore, the present study was designed aiming to compare the findings of pan and selective ct scans in management of multiple trauma patients. method: this is a prospective cross-sectional study, on patients presented to the emergency department (ed) of shohadaye...

Objective: This study investigates the possible magnetic resonance imaging (MRI) findings in patients with cervical trauma having a normal level of consciousness and normal CT reports. These patients have tenderness or an uncomfortable feeling in the traumatized area as well.Methods: In this cross-sectional anterograde study, cases were selected among patients referred to the emergency de...

Background To improve acute trauma care workflow, the number of trauma centers equipped with a computed tomography (CT) machine in the trauma resuscitation room has increased. The effect of the presence of a CT machine in the trauma room on a patient's outcome is still unclear. This study evaluated the association between a CT machine in the trauma room and a patient's outcome. Methods Our st...

PURPOSE To examine variation in pediatric trauma head CT imaging protocols in Washington state. METHODS A web-based survey was sent to trauma-designated hospitals in Washington state. Respondents were queried about pediatric head trauma volumes, type of CT scanners, and technical information about the CT imaging protocols. Variation in pediatric trauma volumes, CT dose reduction strategies, a...

Background: Computed tomography (CT) scanning has become essential in the early diagnostic phase of trauma care because of its high diagnostic accuracy. The introduction of multi-slice CT scanners and infrastructural improvements made total-body CT scanning technically feasible and its usage is currently becoming common practice in several trauma centers. However, literature provides limited ev...

conclusions performing routine chest and abdominopelvic ct-scan in conscious blunt trauma patients decreases the hospitalization time but has no effect on patient complications and final outcome. using a selective approach and performing ct-scan only for symptomatic patients, would be an appropriate option to decrease radiation dose and facility overuse. nevertheless, the concern of missing occ...

OBJECTIVE Few studies have assessed the impact of trauma volume on the operational efficiency of emergency departments. Herein, we evaluate the association between trauma volume with the positive rate of head computed tomography scans in head trauma patients in a tertiary care hospital. METHODS This is a retrospective cohort review involving all head trauma patients presenting to a tertiary c...