CXR in Blunt Trauma

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 22 August 2016

⏱️ 17 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Where does the role of a chest X-ray lie in major trauma?

With the ever increasing use of CT and ultrasound in the resus room what role does the old school CXR hold? How many injuries will it pick up? How many will it miss? And when is the extra delay justified?

This podcast looks at a recent paper on the topic and some related national guidelines. Enjoy!

References

Prevalence and Clinical Import of Thoracic Injury Identified by Chest Computed Tomography but Not Chest Radiography in Blunt Trauma: Multicenter Prospective Cohort Study. Langdorf MI. Ann Emerg Med. 2015 Dec

NICE 2016: Major trauma; assessment and initial management

The Royal College of Radiologists 2011; Standards of practice and guidance for trauma radiology in severely injured patients

Transcript

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0:00.0	And out of ten, Rob, how many got it in?
0:10.6	I think you'd one get it in, amazingly.
0:13.1	It's been superb so far.
0:14.4	It's been nothing but an enjoyable experience, Simon.
0:17.0	Thank you.
0:17.9	But they also included in intubation.
0:20.6	Really? I didn't see that.
0:22.5	Don't do this.
0:24.6	Welcome to the recess room podcast.
0:31.3	Five, four, three, two, one, fire.
0:34.7	So, welcome back to the podcast. I'm Simon Lang and this is The Recess Room.
0:40.4	If you haven't had a chance yet, go over and check out the website at therescestroom.co.
0:45.6	We've got loads of different features there for you. We've got all the different podcasts
0:50.9	categorised by topics or by the date they've been published. We've got
0:54.8	some paper roundups, so we've got loads of papers that we think might be of interest to you
0:59.2	with hyperlinks through to their abstracts. And hopefully this will be of some real use to you. We've
1:04.8	got hyperlinks through to all the different guidelines that you may want to get hold of really
1:10.0	quickly when you're practicing medicine
1:12.1	in the recess room. Anyway, go and check it out and we'd love to have some feedback on it,
1:17.3	whether that be good or things that you'd like to see change a bit. Right, well this episode,
1:23.5	we're going to have a bit of a think about trauma and specifically how useful the plane
1:28.8	x-ray is.
	...

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