Vascular injuries are also better depicted with IV contrast. CT chest without IV contrast can effectively excluded pneumothorax and hemothorax [50]. 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]. CTA Abdomen and Pelvis With IV Contrast In the hemodynamically stable patient population, multiphasic imaging can provide additional useful information regarding the source of active bleeding. Additionally, it is important to remember that imaging can be performed after damage control surgery to identify injuries that may need definitive treatment [29,33]. CTA Chest With IV Contrast In the hemodynamically stable patient population, CTA can provide additional useful information regarding the source of active bleeding. Additionally, it is important to remember that imaging can be performed after damage control surgery to identify injuries that may need definitive treatment [29,33]. In their retrospective study, Nummela et al [29] found that arterial and venous phases of the chest, abdomen, and pelvis CT facilitated recognition of active bleeding in patients with penetrating thoracic trauma. Differentiating between arterial and venous hemorrhage may have treatment implications. For example, a hemodynamically stable patient with active arterial bleeding may be treated with an angioembolization procedure, whereas bleeding from a venous structure may result in supportive care [29,33]. MRI Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of MRI chest, 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 chest, abdomen, and pelvis without IV contrast for initial evaluation of patients with penetrating torso trauma with hypotension.
Penetrating Torso Trauma. Vascular injuries are also better depicted with IV contrast. CT chest without IV contrast can effectively excluded pneumothorax and hemothorax [50]. 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]. CTA Abdomen and Pelvis With IV Contrast In the hemodynamically stable patient population, multiphasic imaging can provide additional useful information regarding the source of active bleeding. Additionally, it is important to remember that imaging can be performed after damage control surgery to identify injuries that may need definitive treatment [29,33]. CTA Chest With IV Contrast In the hemodynamically stable patient population, CTA can provide additional useful information regarding the source of active bleeding. Additionally, it is important to remember that imaging can be performed after damage control surgery to identify injuries that may need definitive treatment [29,33]. In their retrospective study, Nummela et al [29] found that arterial and venous phases of the chest, abdomen, and pelvis CT facilitated recognition of active bleeding in patients with penetrating thoracic trauma. Differentiating between arterial and venous hemorrhage may have treatment implications. For example, a hemodynamically stable patient with active arterial bleeding may be treated with an angioembolization procedure, whereas bleeding from a venous structure may result in supportive care [29,33]. MRI Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of MRI chest, 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 chest, abdomen, and pelvis without IV contrast for initial evaluation of patients with penetrating torso trauma with hypotension.