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Blunt Traumatic Aortic Injury in the Pan‐scan Era

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In the era of frequent head‐to‐pelvis computed tomography (CT) for adult blunt trauma evaluation, we sought to update teachings regarding aortic injury by determining 1) the incidence of aortic injury;… Click to show full abstract

In the era of frequent head‐to‐pelvis computed tomography (CT) for adult blunt trauma evaluation, we sought to update teachings regarding aortic injury by determining 1) the incidence of aortic injury; 2) the proportion of patients with isolated aortic injury (without other concomitant thoracic injury); 3) the clinical implications of aortic injury (hospital mortality, length of stay [LOS], and rate of surgical interventions); and 4) the screening value of traditional risk factors/markers (such as high‐energy mechanism and widened mediastinum on chest x‐ray [CXR]) for aortic injury, compared to newer criteria from the recently developed NEXUS Chest CT decision instrument (DI).

Keywords: aortic injury; injury; traumatic aortic; era; blunt traumatic

Journal Title: Academic Emergency Medicine
Year Published: 2019

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