Author/Editor		Jevtič, Vladimir
Title		Slikovne metode v urgentni diagnostiki skeleta
Translated title		Urgent imaging of skeletal trauma
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 5. Zbornik 6. mednarodni simpozij o urgentni medicini; 1999 jun 16-19; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1999
Volume		str. 137-152
Language		slo
Abstract		An important part of the team which deals with acutely and severely injured patients is qualified radiologists. Unlimited interdisciplinary co-operation and continuos excange of informations between trauma specialist, intensive care specialist and radiologist is the basic principle for successful care and management especially in polytraumatised patients. After the patient's breathing and circulation have been stabilised, clinical examination by an experienced trauma specialist will determine the necessary imaging studies. Basic radiologic studies include plain film radiography and sonography (US), which if necessary are followed by computed tomography (CT), invasive / interventional procedures and rarely by magnetic resonance imaging (MRI). The use of computed radiography based on phosphorous plates, or in near future, solid state detectors will eliminate over or under exposed films and need for film repetitions. Imaging of the trauma victim should be obtained without turning or moving of the patient. Adedicated and well equiped radiological trauma department is mondatory. The modern imaging equipment include C-arm with fluoroscopy, an ultrasound device and in recent years as the most important achievement spiral CT. Well trained radiologists and technicians experienced in urgent radiology will provide good quality imaging studies which are the basis for quick and exact diagnosis. In most of the cases of skeletal trauma standard radiographs in two planes are the first diagnostic step. In severely injured patients with traumatic lesions of difficult anatomic regions (facial bones, skull base, spine, pelvis, hip, knee and ankle) special radiographic views have been nearly completely replaced by spiral CT which allows quick examination without moving of the patient. Complex fractures are exactly delineated by 3-D reconstruction. (Abstract truncated at 2000 characters).
Descriptors		BONE AND BONES EMERGENCIES HEAD INJURIES SPINAL INJURIES TOMOGRAPHY, X-RAY COMPUTED HIP FRACTURES SKULL FRACTURES