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Fri Nov 25 05:21:02 GMT 2005

Of course this makes no sense--you do not need a chest CT to diagnose any of these things, and a chest CT is of NO value in diagnosing diaphragm rupture--where do such ideas come from?
ERF 

-----Original Message-----
From: Don Benson <bensonblues at comcast.net>
To: 'Trauma &amp; Critical Care mailing list' <trauma-list at trauma.org>
Sent: Thu, 24 Nov 2005 22:19:32 -0500
Subject: RE: Rational use of CT scanner in Trauma

Do the chest CT with blunt abdominal trauma. R/o diaphragm injury, occult
pneumothorax, occult pericardial tamponade, ad nauseum....

DB
bensonblues at comcast.net

-----Original Message-----
From: DocRickFry at aol.com [mailto:DocRickFry at aol.com] 
Sent: Wednesday, November 23, 2005 7:45 PM
To: trauma-list at trauma.org
Subject: Re: Rational use of CT scanner in Trauma

In a message dated 11/23/2005 4:36:06 P.M. Eastern Standard Time,  
Rachael.Henson at act.gov.au writes:

A  question for anyone.

Who routinely does CT chest with an abdo when the  history of the accident 
only involves blunt abdo injuries? What is your  threshold for CT of the
chest 
in these cases?

We recently had a missed  injury (T3 -4 crush #) on a patient who presented 
after a car vs truck   accident. Their initial injuries were # tib/fib,
#radial 
head and large deep  lacerations to the scalp, elbow and thigh. The patient 
had a strong  psychiatric history.

Plain x-rays were the usual trauma series. Head,  neck, face and abdo CT
were 
performed. 

Following a CT chest for a  pulmonary complication 11 days later, the 
thoracic vertebral fractures were  discovered.

I'm having an attack of deja vu here--did we not just go thru this question

from this same person a couple days ago?
ERF

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Rational use of CT scanner in Trauma