Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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Imaging in Trauma

Diagnostic imaging in trauma is essential to guide assessment and to prevent mortality. Indications for imaging are based on factors which include: mechanism, stability, examination findings and availability of resources.

Early Activation

Upon notification of a trauma call, the ED begins preparation to receive the patient, including notification to the Radiology team.

  • Ultrasound machines should be available in the ED for experienced providers to use as part of the initial reception.
  • The ED radiology staff are required to be ready and waiting to undertake the requested imaging in the resuscitation bay.
  • CT facilities should be cleared of patients and ready to receive the patient once a decision is made to take the patient through the scanner.

Ultrasound has evolved to be a mainstay in the detection of life threatening bleeding in the emergency department and is now part of the standard training for doctors working in the Resuscitation environment.

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