CTA Chest With IV Contrast CTA of the chest is now routinely used for both blunt and penetrating trauma at many level 1 trauma centers. CTA may better demonstrate pseudoaneurysm, vascular occlusion, active contrast extravasation, intimal tear, and early venous filling in arteriovenous fistulas [29,48]. MRI Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of MRI abdomen and pelvis without and with IV contrast for initial evaluation of patients with penetrating torso trauma. MRI Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of MRI abdomen and pelvis without IV contrast for initial evaluation of patients with penetrating torso trauma. MRI Chest Without and With IV Contrast There is no relevant literature regarding the use of MRI chest without and with IV contrast for initial evaluation of patients with penetrating torso trauma. MRI Chest Without IV Contrast There is no relevant literature regarding the use of MRI chest without IV contrast for initial evaluation of patients with penetrating torso trauma. Radiography Trauma Series It is common practice at many trauma centers to mark presumed penetrating wounds with radiodense markers. Radiographic evaluation can help identify retained foreign bodies and suggest trajectory, which may direct additional imaging or mandate surgical exploration. Variant 5: Adult. Nonballistic penetrating torso trauma, unknown trajectory, normotensive. Initial imaging. FAST can help triage patients and direct initial bedside and surgical procedures. Hemopericardium, pneumothorax, and free intraperitoneal fluid discovered at FAST have significant implications on next steps in management of the patient. Some trauma systems also use prehospital FAST to expedite management upon arrival to the hospital [14,16]. Penetrating Torso Trauma the sites of skin violation, which is much more important with sharp object low energy penetrating trauma.
Penetrating Torso Trauma. CTA Chest With IV Contrast CTA of the chest is now routinely used for both blunt and penetrating trauma at many level 1 trauma centers. CTA may better demonstrate pseudoaneurysm, vascular occlusion, active contrast extravasation, intimal tear, and early venous filling in arteriovenous fistulas [29,48]. MRI Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of MRI abdomen and pelvis without and with IV contrast for initial evaluation of patients with penetrating torso trauma. MRI Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of MRI abdomen and pelvis without IV contrast for initial evaluation of patients with penetrating torso trauma. MRI Chest Without and With IV Contrast There is no relevant literature regarding the use of MRI chest without and with IV contrast for initial evaluation of patients with penetrating torso trauma. MRI Chest Without IV Contrast There is no relevant literature regarding the use of MRI chest without IV contrast for initial evaluation of patients with penetrating torso trauma. Radiography Trauma Series It is common practice at many trauma centers to mark presumed penetrating wounds with radiodense markers. Radiographic evaluation can help identify retained foreign bodies and suggest trajectory, which may direct additional imaging or mandate surgical exploration. Variant 5: Adult. Nonballistic penetrating torso trauma, unknown trajectory, normotensive. Initial imaging. FAST can help triage patients and direct initial bedside and surgical procedures. Hemopericardium, pneumothorax, and free intraperitoneal fluid discovered at FAST have significant implications on next steps in management of the patient. Some trauma systems also use prehospital FAST to expedite management upon arrival to the hospital [14,16]. Penetrating Torso Trauma the sites of skin violation, which is much more important with sharp object low energy penetrating trauma.