Chest Computed Tomography for Screening Suspected Cases of SARS-CoV-2 Infection in Trauma Patients

The current study evaluates the need for trauma bay chest radiographs (CXR) in stable blunt-trauma patients who are scheduled for chest computed tomography (CCT). A retrospective review of 157 randomly selected, stable, adult blunt-trauma patients who were admitted to a level I trauma center between 2000 and 2002, who underwent both CXR and CCT (GE Light-Speed Scanner), was performed. Stable patients were defined as unintubated, normotensive (SBP >100 mm Hg), and without hypoxia (O2 saturation >90%). No interventions were conducted in the trauma bay based on chest radiograph findings. Among 95 patients with a “normal” CXR, 38 patients (40%) were found on CCT to have traumatic injuries. Among 62 patients with an “abnormal” CXR, 18 (29%) were found to be normal on CCT. Of the remaining 44 patients, 34 had additional findings on CCT. In 32 patients, CCT led to changes in management. CCT was more sensitive in diagnosing thoracic injuries and led to significant changes in management. We feel that CXR could be safely eliminated in favor of CCT in stable blunt-trauma patients.

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Analysis of Aspiration Risk Factors in Severe Trauma Patients: Based on Findings of Aspiration Lung Disease in Chest Computed Tomography

Journal of Trauma and Injury ◽

10.20408/jti.2020.0003 ◽

2020 ◽

Vol 33 (2) ◽

pp. 88-95

Author(s):

Gyu Jin Heo ◽

Jungnam Lee ◽

Woo Sung Choi ◽

Sung Youl Hyun ◽

Jin-Seong Cho

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Lung Disease ◽

Severe Trauma ◽

Trauma Patients ◽

Chest Computed Tomography ◽

Aspiration Risk

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Comparison of occult pneumothorax and pneumothorax cases in thoracic trauma: A descriptive, cross-sectional study

Journal of Emergency Medicine Trauma and Acute Care ◽

10.5339/jemtac.2021.5 ◽

2021 ◽

Vol 2021 (1) ◽

Author(s):

Semra Aslay

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Thoracic Trauma ◽

Tension Pneumothorax ◽

Penetrating Trauma ◽

Trauma Patients ◽

Chest Computed Tomography ◽

X Ray ◽

Occult Pneumothorax ◽

Chest X Ray

Background: The emergency department usually takes a supine posteroanterior (PA) chest X-ray imaging in trauma patients. In some cases, pneumothorax is not seen in the chest X-ray because of the patient's position. These cases are called occult pneumothorax. Misdiagnosis of occult pneumothorax in the emergency department may lead to complications such as tension pneumothorax. This study aimed to update patients’ features with occult pneumothorax due to blunt or penetrating trauma. Methods: In this study, data of 615 thoracic trauma patients admitted to the emergency department between January 2008 and December 2010 were evaluated. In total, 157 patients had undergone both chest X-ray and chest computed tomography and were diagnosed with pneumothorax. Of the 157 patients, 52 were excluded due to some criteria. Data of 105 patient, including their characteristics, trauma types, accompanying traumas, etiology of the chest trauma, chest X-ray findings, and computed chest tomography results were recorded. Data obtained were compared with the results of similar studies conducted in the last 10 years. Chest computed tomography was considered the gold standard for the diagnosis of pneumothorax. Results: The mean patient age was 36.19 ± 14.74 years. Occult pneumothorax was detected in 8 of 105 patients, giving a 7.6% overall incidence of occult pneumothorax. A traffic accident was the most common cause of etiology. All occult pneumothorax cases were caused by blunt trauma, and tube thoracostomy was performed in all of them. No significant differences were found between pneumothorax and occult pneumothorax cases concerning the etiology, accompanied trauma, intervention types, and trauma reasons (p < 0.05). Conclusions: This study supports the incidence of occult pneumothorax reported in the literature. When a patient is admitted with thoracic trauma, a physician should carefully evaluate the patient through supine chest X-ray examination. Only one misdiagnosis in trauma patients can be lead to many unintentional clinical and forensic results.

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COMPARATIVE DOSIMETRIC STUDY IN CHEST COMPUTED TOMOGRAPHY USING PHANTOMS

Brazilian Journal of Radiation Sciences ◽

10.15392/bjrs.v7i1a.342 ◽

2019 ◽

Vol 7 (1A) ◽

Author(s):

Wadia Aburjaile ◽

Mauricio Gomez ◽

Arnaldo Prata Mourão

Keyword(s):

Computed Tomography ◽

Chest Computed Tomography ◽

Dosimetric Study

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Faculty Opinions recommendation of Plain radiography does not add any clinically significant advantage to multidetector row computed tomography in diagnosing cervical spine injuries in blunt trauma patients.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1157915.617976 ◽

2009 ◽

Author(s):

Elfyn Thomas

Keyword(s):

Computed Tomography ◽

Cervical Spine ◽

Blunt Trauma ◽

Plain Radiography ◽

Multidetector Row Computed Tomography ◽

Trauma Patients ◽

Cervical Spine Injuries ◽

Multidetector Row ◽

Spine Injuries ◽

Clinically Significant

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The Frequency of Random Findings on Abdominal / Pelvis Computed Tomography in Pediatric Trauma Patients

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405616666201217110021 ◽

2020 ◽

Vol 16 ◽

Author(s):

Betül Tiryaki Baştuğ

Keyword(s):

Computed Tomography ◽

Incidental Findings ◽

Pediatric Population ◽

Pediatric Trauma ◽

Trauma Patients ◽

Injured Child ◽

Level 3 ◽

Male Patients ◽

Clinically Significant ◽

Discharge Summaries

Aims: In this study, we aimed to find the percentage of random pathologies and abdominopelvic region anomalies that are not related to trauma in pediatric patients. Background: An abdominal assessment of an injured child usually involves computed tomography imaging of the abdomen and pelvis (CTAP) to determine the presence and size of injuries. Imaging may accidentally reveal irrelevant findings. Objectives: Although the literature in adults has reviewed the frequency of discovering these random findings, few studies have been identified in the pediatric population. Methods: Data on 142( 38 female, 104 male) patients who underwent CTAP during their trauma evaluation between January 2019 and January 2020 dates were obtained from our level 3 pediatric trauma center trauma records. The records and CTAP images were examined retrospectively for extra traumatic pathologies and anomalies. Results: 67 patients (47%) had 81 incidental findings. There were 17 clinically significant random findings. No potential tumors were found in this population. Conclusion: Pediatric trauma CTAP reveals random findings. For further evaluation, incidental findings should be indicated in the discharge summaries.

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