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Open Access 01-12-2020 | Computed Tomography | Guideline

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Authors: Stefan Wirth, Julian Hebebrand, Raffaella Basilico, Ferco H. Berger, Ana Blanco, Cem Calli, Maureen Dumba, Ulrich Linsenmaier, Fabian Mück, Konraad H. Nieboer, Mariano Scaglione, Marc-André Weber, Elizabeth Dick

Published in: Insights into Imaging | Issue 1/2020

Abstract

Background

Although some national recommendations for the role of radiology in a polytrauma service exist, there are no European guidelines to date. Additionally, for many interdisciplinary guidelines, radiology tends to be under-represented. These factors motivated the European Society of Emergency Radiology (ESER) to develop radiologically-centred polytrauma guidelines.

Results

Evidence-based decisions were made on 68 individual aspects of polytrauma imaging at two ESER consensus conferences. For severely injured patients, whole-body CT (WBCT) has been shown to significantly reduce mortality when compared to targeted, selective CT. However, this advantage must be balanced against the radiation risk of performing more WBCTs, especially in less severely injured patients. For this reason, we recommend a second lower dose WBCT protocol as an alternative in certain clinical scenarios. The ESER Guideline on Radiological Polytrauma Imaging and Service is published in two versions: a full version (download from the ESER homepage, https://www.eser-society.org) and a short version also covering all recommendations (this article).

Conclusions

Once a patient has been accurately classified as polytrauma, each institution should be able to choose from at least two WBCT protocols. One protocol should be optimised regarding time and precision, and is already used by most institutions (variant A). The second protocol should be dose reduced and used for clinically stable and oriented patients who nonetheless require a CT because the history suggests possible serious injury (variant B). Reading, interpretation and communication of the report should be structured clinically following the ABCDE format, i.e. diagnose first what kills first.

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Title: European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)
Authors: Stefan Wirth
Julian Hebebrand
Raffaella Basilico
Ferco H. Berger
Ana Blanco
Cem Calli
Maureen Dumba
Ulrich Linsenmaier
Fabian Mück
Konraad H. Nieboer
Mariano Scaglione
Marc-André Weber
Elizabeth Dick
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Computed Tomography
Polytrauma
Computed Tomography
Polytrauma
Published in: Insights into Imaging / Issue 1/2020
Electronic ISSN: 1869-4101
DOI: https://doi.org/10.1186/s13244-020-00947-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Abstract

Background

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Results

Conclusions

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