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Old 05-09-2013
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CT Scan CT scan in trauma

if a pateint is hemodynamically unstable , can we use CT scan for emergent evaluation for blunt abdominal trauma or chest or head trauma,


and if we use bedside US , which one to do first , CT or US????
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Old 05-09-2013
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if there is suspicion of blunt abd. trauma (along with head trauma) in unstable pt.(B.P low)---->do FAST(USG) if not conclusive do DPL --->follows by exploratory laparotomy

if stable--->do CT abd. then follows by head CT (pt. cant be hypotensive from head injury---so rule out other causes like abdomen,chest, femur)

hope it clears
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Old 05-09-2013
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Quote:
Originally Posted by venky2600 View Post
if there is suspicion of blunt abd. trauma (along with head trauma) in unstable pt.(B.P low)---->do FAST(USG) if not conclusive do DPL --->follows by exploratory laparotomy

if stable--->do CT abd. then follows by head CT (pt. cant be hypotensive from head injury---so rule out other causes like abdomen,chest, femur)

hope it clears
sorry my 2nd statement is blunder--->

if pt. stable(mean normotensive)along with head trauma----do head CT first---->if no hemorrhage then it follows by CT abdomen..
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