Current Standards for and Clinical Impact of Emergency Radiology in Major Trauma

Francesca Iacobellis, Ahmad Abu-Omar, Paola Crivelli, Michele Galluzzo, Roberta Danzi, Margherita Trinci, Giuseppina Dell’Aversano Orabona, Maurizio Conti, Luigia Romano and Mariano Scaglione
Additional contact information
Francesca Iacobellis: Department of General and Emergency Radiology, “A. Cardarelli” Hospital, A. Cardarelli St. 9, 80131 Naples, Italy
Ahmad Abu-Omar: Department of Radiology, The James Cook University Hospital, Middlesbrough TS4 3BW, UK
Paola Crivelli: Department of Clinical and Experimental Medicine, University of Sassari, Via Roma 151, 07100 Sassari, Italy
Michele Galluzzo: Department of Radiology, Azienda Ospedaliera San Camillo Forlanini, C.Ne Gianicolense, 87, 00152 Rome, Italy
Roberta Danzi: Department of Radiology, Pineta Grande Hospital, Via Domitiana Km 30, 81030 Castel Volturno, Italy
Margherita Trinci: Department of Radiology, Azienda Ospedaliera San Camillo Forlanini, C.Ne Gianicolense, 87, 00152 Rome, Italy
Giuseppina Dell’Aversano Orabona: Department of General and Emergency Radiology, “A. Cardarelli” Hospital, A. Cardarelli St. 9, 80131 Naples, Italy
Maurizio Conti: Department of Clinical and Experimental Medicine, University of Sassari, Via Roma 151, 07100 Sassari, Italy
Luigia Romano: Department of General and Emergency Radiology, “A. Cardarelli” Hospital, A. Cardarelli St. 9, 80131 Naples, Italy
Mariano Scaglione: Department of Radiology, The James Cook University Hospital, Middlesbrough TS4 3BW, UK

IJERPH, 2022, vol. 19, issue 1, 1-10

Abstract: In industrialized countries, high energy trauma represents the leading cause of death and disability among people under 35 years of age. The two leading causes of mortality are neurological injuries and bleeding. Clinical evaluation is often unreliable in determining if, when and where injuries should be treated. Traditionally, surgery was the mainstay for assessment of injuries but advances in imaging techniques, particularly in computed tomography (CT), have contributed in progressively changing the classic clinical paradigm for major traumas, better defining the indications for surgery. Actually, the vast majority of traumas are now treated nonoperatively with a significant reduction in morbidity and mortality compared to the past. In this sense, another crucial point is the advent of interventional radiology (IR) in the treatment of vascular injuries after blunt trauma. IR enables the most effective nonoperative treatment of all vascular injuries. Indications for IR depend on the CT evidence of vascular injuries and, therefore, a robust CT protocol and the radiologist’s expertise are crucial. Emergency and IR radiologists form an integral part of the trauma team and are crucial for tailored management of traumatic injuries.

Keywords: motor vehicle crash; trauma; major trauma; high speed; energy trauma (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/1/539/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/1/539/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:1:p:539-:d:717310

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().