Dr Amit Nandan Dhar Dwivedi
The management of polytrauma is based on the principle that the care provided to trauma patients in the first few hours can be absolutely critical in terms of predicting long term recovery and that good trauma care involves getting the patient to right place in right time for the right treatment. Managing critically injured patients are challenging. It is very important to assess the overall severity in terms of site and extent of injury. Earlier radiographs, conventional CT scanners and focused assessment with sonography for trauma (FAST) used to be very useful adjuncts in management of polytrauma. Nowadays with the advent of state of art multidetector CT (MDCT) scanners the scenario has improved. Most of the centers dealing with trauma have a clear protocol of MDCT for management. There are concerns regarding cost, radiation and whether “CT first protocol” should be employed. Here we review the role of MDCT in assessment of patients with polytrauma and its current status.
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