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Old 04-26-2014
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Default use of CT in heamodynamically unstable pateint

in uw q 3358 how do we use CT for the patient while he is heomodynamically unstable , please need explanation
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Old 04-26-2014
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Originally Posted by hydrocephalus View Post
in uw q 3358 how do we use CT for the patient while he is heomodynamically unstable , please need explanation
you dont need to post the entire question but the idea behind it and maybe i can help. i dont have uworld anymore.


Generally you will never ever do a CT scan in an unstable patient.

Common answers are ike "give iv fluids, do a FAST exam, give X drug emergently" , those are usually the sure fire answers

There a few exceptions where CT IS A MUST however.

For example Aortic Dissection. Patient with AD will obviously be on a ton of pain and hemodinamically unstable, but if the options present something like "give pain killers, then do a CT scan" that is incorrect (if it said something like give Labetalol+strong clinical evidence of ED, i would choose that though)

CT scan is needed before the surgery (or Transesophageal eco, its faster and available in the ER in the US) , so delaying the CT scan will decrease the overall progonosis of the patient.

There are a few exceptions like that where CT's are key. Stroke is another important one. Is is a hemorrhagic stroke , is is a ischemic stroke? TX is entirely different and the faster you start it , the faster you get the patient out of the hospital. CT can rarely be delayed in those cases.
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