Does a fall from a standing height warrant computed tomography in an elderly patient with polytrauma?

作     者：Debkumar Chowdhury Debkumar Chowdhury

作者机构：Specialty RegistrarEmergency MedicineManchester Royal InfirmaryManchester M139WLUnited Kingdom 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2023年第14卷第4期

页      面：302-306页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：injuries trauma mortality 

摘      要：The importance of performing an early primary survey in‘silver trauma’patients in the detection of injuries has been well documented in reducing the associated morbidity and mortality.[1]In the past,when whole body computed tomography(WBCT)was not commonly available,following initial examination patients would undergo chest radiograph and pelvic X-ray and then proceed to selective computed tomography(CT).With the relatively widespread availability of CT,the use of these X-rays has diminished.The reliance on clinical examination alone for the detection of underlying injuries is another matter of debate.