PRIMARY SURVEY X RAY CERVICAL SPINE HOW TO
PRIMARY SURVEY X RAY CERVICAL SPINE FULL
PRIMARY SURVEY X RAY CERVICAL SPINE PORTABLE

This image is typically obtained at the end of an injection of 17–20 cc of IV contrast but prior to the completion of the injection to insure full luminal distention with contrast. While injecting additional contrast through the catheter an image of the pelvis/urethra is obtained in the same slight AP oblique position. 10 cc of contrast is injected into the tip of the urethra through a Foley catheter.

PRIMARY SURVEY X RAY CERVICAL SPINE PORTABLE

One field expedient method uses the portable x-ray machine with a single oblique AP scout image of the pelvis. When there is a clinical suspicion of possible urethral injury, which can occur with significant pelvic fractures or penetrating perineal injury, a retrograde urethrogram may be helpful to further characterize the injury. Additionally with CT, extremity osseous and soft tissue injuries can be easily identified with the added benefit of a lower extremity angiogram as well. If extremity injury is suspected, radiographs can be obtained however, these can be time-consuming and should not delay more diagnostic imaging with CT, if available. Refer to the JTS CPG, Cervical and Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in the Deployed Setting, for further guidance. Cervical SpineĬervical spine radiographic evaluation has been largely replaced by CT and should only be performed when a CT is unavailable. Radiographs can easily demonstrate metallic fragments common in military specific trauma that can be helpful in determining potential sites of injury and injury tracts. The initial focus being major cardiopulmonary injury and fracture dislocations of the pelvis, the latter can be an indicator of life-threatening internal hemorrhage and/or need for pelvic stabilization. The initial radiographic evaluation of a trauma patient begins with supine Anterior-Posterior (AP) chest and pelvis radiographs taken in the trauma bay usually with a portable X-ray machine. Advances in aggressive resuscitation techniques and the speed of the latest generation computed tomography (CT) scanners (64-detector and beyond), rapid trauma scans utilizing CT and ultrasound (US) imaging routinely allows for imaging to be performed prior to taking the patient to the operating room potentially providing the trauma team with lifesaving information. Given the catastrophic injuries sustained by high-energy mechanisms, including high-velocity ballistic trauma and blast injuries often seen during the current conflict, rapid diagnosis and treatment is required to optimally treat these critically injured patients.

PRIMARY SURVEY X RAY CERVICAL SPINE HOW TO

The goal of this manuscript is to provide guidelines and recommendations for the optimum integration of high-quality diagnostic imaging into the treatment and management of casualties with multiple mechanisms of traumatic injuries and how to facilitate the transfer of this information with the patient across the continuum of care. Imaging has become a critical component of the care of any patient in the age of modern medicine. Radiology, CT scan, imaging, poly-trauma, trauma scans, ultrasound INTRODUCTION

Primary survey x ray cervical spine