(4)dr.nur hidayat major_trauma_radiology_for_web.pdf
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Imaging in major trauma
Dr Paul Middleton
Medical Adviser Chair, Clinical Advisory Committee
Ambulance Service of NSW
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Imaging in major trauma
Dr Paul Middleton
Senior Lecturer inEmergency MedicinePrince of Wales Hospital / UNSW
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Imaging in major trauma
Dr Paul Middleton
Retrieval SpecialistCareFlight
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Primary survey - ATLS /EMST
A Airway with cervical spine controlB Breathing and ventilation
C Circulation and haemorrhage controlD DisabilityE Exposure, environment and
everything elseRadiology comes at E trauma seriesRadiology also comes in the Secondary
survey
Imaging in major trauma - perspective
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Imaging in major trauma - perspective
Trauma series of X-rays
Chest X rayPelvis X rayLateral cervical spine X ray
Additional views AP cervical spine X rayOpen mouth odontoid peg X rayOblique views of cervical spineCTFAST
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Imaging in major trauma - perspective
Trauma series of X-rays
Chest X rayPelvis X rayLateral cervical spine X ray
Additional views AP cervical spine X rayOpen mouth odontoid peg X rayOblique views of cervical spineOblique views of cervical spineOblique views of cervical spineCTCTCTFASTFASTFAST
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Imaging in major trauma - perspective
Spinal immobilisation is a priority in multiple
trauma, spinal clearance is not.The spine should be assessed and clearedwhen appropriate, given the injury and
physiological state.Imaging the spine does not take precedenceover life-saving diagnostic and therapeuticprocedures.
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Chest X ray
Imaging in major trauma
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How do we examine a CXR?
Imaging in major trauma - interpretation
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How do we examine an XR?
AABCs
Imaging in major trauma - interpretation
A AdequacyA - AlignmentB - BonesC - CartilageS Soft tissues
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Imaging in major trauma - interpretation
Normal CXR
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How do we examine a CXR?
Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
How do we examine a CXR?
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SomeB*****dPinchedMyToyDinosaur
Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
Soft tissues
B*****dPinchedMyToyDinosaur
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Imaging in major trauma - interpretation
Soft tissues
BonesPinchedMyToyDinosaur
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Imaging in major trauma - interpretation
Soft tissues
BonesPleura / ParenchymaMyToyDinosaur
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Imaging in major trauma - interpretation
Soft tissues
BonesPleura / ParenchymaMediastinumToyDinosaur
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Imaging in major trauma - interpretation
Soft tissues
BonesPleura / ParenchymaMediastinumTracheaDinosaur
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Soft tissues
BonesPleura / ParenchymaMediastinumTracheaDiaphragms
Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
NormalCXR
Softtissues
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Imaging in major trauma - interpretation
Normal CXR
Bones
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Imaging in major trauma - interpretation
Normal CXR
Pleura
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Imaging in major trauma - interpretation
Normal CXR
Parenchyma
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Imaging in major trauma - interpretation
Normal CXR
Mediastinum
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Imaging in major trauma - interpretation
Normal CXR
Trachea
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Imaging in major trauma - interpretation
Normal CXR
Diaphragms
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Imaging in major traumaPathology
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Imaging in major trauma - pathology
Subcutaneous
emphysema
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Imaging in major trauma - pathology
Multiple rib
#s
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Imaging in major trauma - pathology
Flail chest
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Imaging in major trauma - pathology
Simple
pneumothorax
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Imaging in major trauma - pathology
Simple
pneumothorax- detail
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Imaging in major trauma - pathology
Simple
pneumothorax- detail
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L tension
pneumothorax
Imaging in major trauma - pathology
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Imaging in major trauma - pathology
Erect
haemothorax
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Imaging in major trauma - pathology
Supine
haemothorax
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Imaging in major trauma - pathology
Massive
haemothorax
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Imaging in major trauma - pathology
Pulmonary
contusion
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Imaging in major trauma - pathology
Widened
mediastinum
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Imaging in major trauma - pathology
Oesophageal
rupture
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Pelvis X ray
Imaging in major trauma
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How do we examine a PXR?
Imaging in major trauma - interpretation
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How do we examine a PXR?
AABCs
A AdequacyA - Alignment
B - BonesC - CartilageS Soft tissues
Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
Normal AP
pelvis
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Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
Normal AP
pelvis
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Imaging in major trauma - interpretation
Normal AP
pelvis
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Imaging in major trauma - interpretation
Normal AP
pelvis
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Imaging in major trauma - interpretation
Normal AP
pelvis
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Imaging in major trauma - interpretationDont forget!
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Imaging in major trauma - interpretationDont forget!
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Imaging in major trauma - interpretationDont forget!
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Imaging in major traumaPathology
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Imaging in major trauma Open book
pelvic #
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Imaging in major trauma Malgaigne
pelvic #
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Imaging in major trauma - pathologyLateral
compressionpelvic #
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Imaging in major trauma - pathologyLateral
compressionpelvic # -CTR
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Imaging in major trauma - pathologyLateral
compressionpelvic # -CTR
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Imaging in major traumaCentral
dislocationof hip
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Imaging in major trauma Vertical
shear #
I i i j
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Imaging in major trauma
Anterior +
posterior hipdislocations
I i i j
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Imaging in major trauma
Shear# +
centraldislocation
I i i j t
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Imaging in major trauma
Sacral #
I gi g i j t
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Imaging in major trauma
Widened SI
joint
Imaging in major trauma interpretation
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Cervical spine X ray
Imaging in major trauma - interpretation
Imaging in major trauma
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Cervical spine why is it a problem?
Imaging in major trauma
Imaging in major trauma
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Imaging in major trauma
Imaging in major trauma
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Imaging in major trauma
Imaging in major trauma
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Imaging in major trauma
Imaging in major trauma
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Imaging in major trauma
Imaging in major trauma
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Imaging in major trauma
Imaging in major trauma
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Imaging in major trauma
Imaging in major trauma
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Pathology
Serious head and neck injuries
35mph2001 Daytona 500 fatal accident - change invelocity ~ 43 mph
Resultant load in neck (tension + shearloading) exceeds injury threshold.
Also leads to base of the skull (basilar)
fractures - most common cause of death inracing drivers (and lots of other drivers!)
Imaging in major trauma
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Pathology
Severe flexion, extension, and rotationalforces Atlanto-occipital disarticulations occur in
high-energy impacts and collisions Associated with
aortic laceration in 25%
basilar skull fracture in 21%
WHY DOES THIS ALL HAPPEN?
Imaging in major trauma
Imaging in major trauma
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Anatomy
7 vertebral bodies connect head to torsoC1 (atlas) & C2 (axis) - special shape
Supports the head
Permits head turningPermits upward and downward tilting
Lower 5 vertebrae similar in appearance &function
Permit flexion / extension / rotation, lateralbending
g g j
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g g j
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Imaging in major trauma
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g g j
Imaging in major trauma
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FORCES ACTING ON CERVICAL SPINE
Tensionloading
g g j
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FORCES ACTING ON CERVICAL SPINE
Tensionloading
Compressiveloading
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FORCES ACTING ON CERVICAL SPINE
Tensionloading
Compressiveloading
Shearforces
Imaging in major trauma
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FORCES ACTING ON CERVICAL SPINE
Tensionloading
Shearforces
Torsionalforces
Compressiveloading
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Imaging in major trauma - interpretation
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How do we examine a lateral cervicalspine XR?
AABCs
A AdequacyA - AlignmentB - BonesC - Cartilage
S Soft tissues
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A - Adequacy
Inadequatelateral cervicalspine view
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A - Adequacy
Adequate(just!) lateralcervical spine
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A - Alignment
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B - Bones
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B - Bones
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B - Bones
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C - Cartilage
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Imaging in major trauma - interpretation
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Imaging in major trauma - interpretation
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Additional views
Imaging in major trauma - interpretation
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How do we examine an AP cervical spineXR?
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Normal APcervical spine
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How do we examine an AP cervical spineXR?
AABCs
A AdequacyA - AlignmentB - BonesC - CartilageS Soft tissues
Imaging in major trauma - interpretation
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Normal APcervical spine
A - Adequacy
Adequate APcervical spine
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A - Alignment
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B - Bones
Imaging in major trauma - interpretation
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B Bones
SpaceInvader Sign
Imaging in major trauma - interpretation
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C Cartilage
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How do we examine an odontoid peg XR?
Imaging in major trauma - interpretation
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Normalodontoid pegview
Imaging in major trauma - interpretation
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Normalodontoid pegview
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How do we examine an odontoid peg XR?
AABCs
A AdequacyA - AlignmentB - BonesC - CartilageS Soft tissues
Imaging in major trauma - interpretation
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Normal APcervical spine
A - Adequacy
Adequate pegview
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A - Alignment
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B - Bones
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C Cartilage
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Pathology
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Odontoid peg#s
Type I
Type II
Type III
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Odontoid peg#
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Odontoid peg#
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Occipito -atlantaldislocation
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Jefferson(burst) #
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Jefferson(burst) #
Imaging in major trauma - pathology
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Jefferson(burst) #
Imaging in major trauma - pathology
A l i l
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Atlanto-axialdislocation
Imaging in major trauma - pathology
C2 di l #
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C2 pedicle #
Imaging in major trauma - pathology
H g
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Hangmans#
Teardrop #
Imaging in major trauma - pathology
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Teardrop #C4
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Unilateral
Imaging in major trauma - pathology
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Unilateralfacet joint
dislocationC5/6
Bilateral
Imaging in major trauma - pathology
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Bilateralfacet joint
dislocationC5/6
# dislocation
Imaging in major trauma - pathology
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# dislocationC5/6
Imaging in major trauma
important new imaging techniques
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important new imaging techniques
Imaging in major trauma extra stuff
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Imaging in major trauma
Any questions?
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y q ?
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