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