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

dc.contributor.authorWirth, Stefan
dc.contributor.authorHebebrand, Julian
dc.contributor.authorBasilico, Raffaella
dc.contributor.authorBerger, Ferco H.
dc.contributor.authorBlanco, Ana
dc.contributor.authorCalli, Cem
dc.contributor.authorScaglione, Mariano
dc.date.accessioned2021-05-03T20:33:38Z
dc.date.available2021-05-03T20:33:38Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: 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, ) 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.en_US
dc.description.sponsorshipProjekt DEALen_US
dc.description.sponsorshipOpen Access funding enabled and organized by Projekt DEAL. No funding was available during the development of the whole ESER-Guideline process. in the future ESER may aim to reach funding from companies. If such a funding should arise in the future, this would reach ESER but not particular authors and ESER declares that such a funding income would be spent on educational purposes like free publication of the Guideline via the ESER homepage or at congress meetings, support of the EDiR diploma or educational parts of ESER congress meetings.en_US
dc.identifier.doi10.1186/s13244-020-00947-7en_US
dc.identifier.issn1869-4101
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85097378203en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s13244-020-00947-7
dc.identifier.urihttps://hdl.handle.net/11454/70096
dc.identifier.volume11en_US
dc.identifier.wosWOS:000598005900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInsights Into Imagingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEuropeen_US
dc.subjectGuidelineen_US
dc.subjectRadiologyen_US
dc.subjectPolytraumaen_US
dc.subjectWhole-body-CTen_US
dc.titleEuropean Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)en_US
dc.typeArticleen_US

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