Some trauma systems also use prehospital FAST to expedite management upon arrival to the hospital [14,16]. CT Abdomen and Pelvis With IV Contrast It is useful to get CT scans of the abdomen and pelvis if there is suspicion of peritoneal violation or possible diaphragmatic injuries. Penetrating Torso Trauma CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without and with IV contrast for initial evaluation of penetrating torso trauma isolated to the chest and does not provide additional information pertinent to penetrating trauma [31]. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without IV contrast for initial evaluation of penetrating torso trauma isolated to the chest. During the global shortage of contrast in 2022, unenhanced CT scans were used for acute and posttraumatic patients in emergency departments at some institutions [36]. CT Chest With IV Contrast Contrast-enhanced chest CT is an effective screening tool for determining the wound trajectory and likelihood of injury to mediastinal structures. CT can guide the decision-making process in management of patients in whom immediate surgical intervention could be performed with positive findings at CT chest [51]. If CT shows no evidence of mediastinal injury or other thoracic injury requiring surgery, the patient can simply be observed [37]. CT Chest Without And With IV Contrast There is no relevant literature regarding the use of CT chest without and with IV contrast for initial evaluation of penetrating torso trauma isolated to the chest. The addition of a noncontrast phase does not provide additional information pertinent to penetrating trauma [31]. CT Chest Without IV Contrast Although noncontrast CT may be helpful in determining trajectory, demonstration of internal injuries, specifically solid organs, is much more apparent with IV contrast.
Penetrating Torso Trauma. Some trauma systems also use prehospital FAST to expedite management upon arrival to the hospital [14,16]. CT Abdomen and Pelvis With IV Contrast It is useful to get CT scans of the abdomen and pelvis if there is suspicion of peritoneal violation or possible diaphragmatic injuries. Penetrating Torso Trauma CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without and with IV contrast for initial evaluation of penetrating torso trauma isolated to the chest and does not provide additional information pertinent to penetrating trauma [31]. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without IV contrast for initial evaluation of penetrating torso trauma isolated to the chest. During the global shortage of contrast in 2022, unenhanced CT scans were used for acute and posttraumatic patients in emergency departments at some institutions [36]. CT Chest With IV Contrast Contrast-enhanced chest CT is an effective screening tool for determining the wound trajectory and likelihood of injury to mediastinal structures. CT can guide the decision-making process in management of patients in whom immediate surgical intervention could be performed with positive findings at CT chest [51]. If CT shows no evidence of mediastinal injury or other thoracic injury requiring surgery, the patient can simply be observed [37]. CT Chest Without And With IV Contrast There is no relevant literature regarding the use of CT chest without and with IV contrast for initial evaluation of penetrating torso trauma isolated to the chest. The addition of a noncontrast phase does not provide additional information pertinent to penetrating trauma [31]. CT Chest Without IV Contrast Although noncontrast CT may be helpful in determining trajectory, demonstration of internal injuries, specifically solid organs, is much more apparent with IV contrast.