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Vol. 52. Issue 2.
Pages 105-114 (January 2010)
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Vol. 52. Issue 2.
Pages 105-114 (January 2010)
Radiological management of patients with multiple trauma: history and current practice
Manejo radiológico del paciente politraumatizado. Evolución histórica y situación actual
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M. Martí De Graciaa, J.M. Artigas Martínb, A. Vicente Bártulosc, M. Carreras Ajad,
Corresponding author
a Departament of Emergency Radiology, University Hospital La Paz, Madrid, Spain
b Departament of Emergency Radiology, University Hospital Miguel Servet, Zaragoza, Spain
c Departament of Emergency Radiology, University Hospital Ramón y Cajal, Madrid, Spain
d Departament of Emergency Radiology, Hospital of Cruces, Barakaldo, Vizcaya, Spain
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Abstract

The radiologist plays a crucial role in the multidisciplinary management of patients with multiple trauma. In the last few decades, technological advances and changes in the healthcare culture have led to changes in the imaging work-up of multiple trauma patients, with emphasis shifting from plain-film radiography to whole-body multidetector CT.

This article describes the evolution of the different protocols and the current practice in the management of patients with multiple trauma. As a member of the multidisciplinary team, the radiologist must decide imaging wich one is the most adequate technique and protocol for each situation after taking in consideration the technological resources available.

Keywords:
Multiple trauma
Protocol
Conventional radiography
Whole-body multidetector computed tomography
Resumen

El radiólogo desempeña un papel crucial en el manejo multidisciplinar del paciente politraumatizado, que en las últimas décadas ha sufrido un cambio evolutivo desde la radiología simple hasta la tomografía computarizada multidetector de cuerpo completo, propiciado por los avances tecnológicos y los cambios culturales sanitarios.

En este artículo se muestra la evolución de los diferentes protocolos y la situación actual del manejo del paciente politraumatizado.

El radiólogo integrado en un equipo multidisciplinar debe decidir la técnica de imagen y el protocolo más idóneo en cada situación, adaptándose a los recursos tecnológicos disponibles.

Palabras clave:
Politrauma
Protocolo
Radiología simple
Tomografía computarizada multidetector de cuerpo completo

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