Imaging of chest trauma: radiological patterns of injury and diagnostic algorithms

Lomoschitz, F.; Eisenhuber, Edith; Linnau, Ken F.; Peloschek, Philipp; Schoder, Maria; Bankier, Alexander A.

doi:10.1016/s0720-048x(03)00202-x

Cited by 71 publications

(55 citation statements)

References 28 publications

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“…6 So that information from different diagnostic tools has a major role in improving the patient prognosis. 7,8 Chest computed tomography (CT) is the gold standard method for detection of pneumothorax, haemothorax and lung contusion because it has the best sensitivity and specificity. Although this CT is neither practical nor feasible because it usually require transfer of the patient from the emergency room (ER) where its resuscitation equipment's and facilities to the CT place which carry a great risk on patient survival.…”

Section: Introductionmentioning

confidence: 99%

Role of bedside sonography in the assessment of patients with chest trauma in the emergency department of Suez Canal University Hospital

et al. 2017

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Background: Chest trauma is responsible for more than 20 to 25% of all traumatic death. Chest trauma is the second leading cause of traumatic death in each year. In order to keep the prognosis of patients with chest trauma relatively good, the patient should be diagnosed rapidly & managed adequately. Chest ultrasound is a safe, rapid and accurate method in diagnosing chest trauma.Methods: A total of 50 patients were enrolled in this study. Objectives were to assess the accuracy of bedside chest US in detection of either haemothorax, pneumothorax or lung contusion in chest trauma patients. All the patients underwent chest US, CXR, and chest CT. The data from ultrasound and CXR were compared with the gold standard CT. Then the accuracy of which were calculated.Results: Showed that Motorcar accidents are the most common cause for chest trauma and most patients were presented by chest pain and dyspnea. Chest ultrasound specificity in diagnosing pneumothorax was higher than sensitivity, 100% and 81% respectively, with over all accuracy 88%. Supine CXR showed sensitivity (75%), specificity (88.9%) and accuracy (80%) which are good numbers but still lower than chest US. Chest US Detection of haemothorax by chest had showed 100% sensitivity, 90% specificity and 96% accuracy.Conclusions: Chest ultrasound is highly accurate tool for detection of pneumothorax, haemothorax and less lung contusion in chest trauma. Chest ultrasound is a useful tool for the emergency physician for bedside rapid and accurate diagnosis without interruption of the resuscitation and without transferring the patient for the radiology unit.

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Section: Introductionmentioning

confidence: 99%

Role of bedside sonography in the assessment of patients with chest trauma in the emergency department of Suez Canal University Hospital

et al. 2017

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“…If about one-third of the pulmonary air space is involved, the patient usually requires mechanical ventilation [12], which was the case in 1 patient in our series. Pleural effusions in avalanche victims may be particularly large, although this was not the case in any of the patients in our series.…”

Section: Discussionmentioning

confidence: 73%

Imaging findings of avalanche victims

Grosse

Steinbach

et al. 2007

Skeletal Radiol

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Objective Skiing and hiking outside the boundaries remains an attractive wilderness activity despite the danger of avalanches. Avalanches occur on a relatively frequent basis and may be devastating. Musculoskeletal radiologists should be acquainted with these injuries. Design and patients Fourteen avalanche victims (11 men and 3 women; age range 17-59 years, mean age 37.4 years) were air transported to a high-grade trauma centre over a period of 2 years. Results Radiographs, CT and MR images were prospectively evaluated by two observers in consensus. Musculoskeletal findings (61%) were more frequent than extraskeletal findings (39%). Fractures were most commonly seen (36.6%), involving the spine (14.6%) more frequently than the extremities (9.8%). Blunt abdominal and thoracic trauma were the most frequent extraskeletal findings. Conclusion A wide spectrum of injuries can be found in avalanche victims, ranging from extremity fractures to massive polytrauma. Asphyxia remains the main cause of death along with hypoxic brain injury and hypothermia.

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“…The 2 nd Specialty Board of the Institution of Forensic Medicine investigated the file, and it was emphasized not only that the radiograph should have been taken at the proper position but also that the evaluation should have been performed more carefully. Discussion Radiologic investigations performed in the case of injuries presenting to the emergency department after hemodynamic stabilization are of vital importance for deciding the treatment to be performed on a patient (1). As is the case in many instances of injury, the initial imaging method that will be performed in thoracic injuries is also a chest radiograph.…”

Section: Case Reportmentioning

confidence: 99%

Missing Radiopaque Foreign Body in Plain X-ray

Demir¹,

Emir²,

Kınoğlu³

et al. 2016

JAEMCR

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Introduction:The radiological investigations that will be performed after the hemodynamic stabilization of trauma cases presenting to the emergency room are of vital importance when deciding on the treatment to be administered to the patient. Posteroanterior chest radiography was not applied in the proper position, to include all the soft tissues of the chest and shoulder, after an injury caused by a sharp object in our case. Therefore, a radiopaque foreign object retained within the body was not detected. Case Report: Our case was brought to the emergency room because of a stabbing injury, but no pathological findings were determined at the initial examination or based on the X-graphs taken. Approximately 1 year after discharge, the patient presented to another hospital because of a persistent swelling and pain in the left armpit. A metallic image consistent with a knife point 7-8 cm in length was determined to be under the left armpit. Conclusion: The radiographs not taken in the proper position may lead to undesirable consequences. Therefore, we recommend that great attention should be paid while taking the radiographs, ensuring the proper position and careful evaluation.

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Imaging of chest trauma: radiological patterns of injury and diagnostic algorithms

Cited by 71 publications

References 28 publications

Role of bedside sonography in the assessment of patients with chest trauma in the emergency department of Suez Canal University Hospital

Role of bedside sonography in the assessment of patients with chest trauma in the emergency department of Suez Canal University Hospital

Imaging findings of avalanche victims

Missing Radiopaque Foreign Body in Plain X-ray

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