[Structured radiologic diagnosis in polytrauma].
OBJECTIVE
Development of a concept for structured diagnostic imaging in patients with multiple trauma.


METHODS
Evaluation of data from a prospective trial with over 2400 documented patients with multiple trauma. All diagnostic and therapeutic steps, primary and secondary death and the 90 days lethality were documented. Structured diagnostic imaging of multiple injured patients requires the integration of an experienced radiologist in an interdisciplinary trauma team consisting of anesthesia, radiology and trauma surgery. Radiology itself deserves standardized concepts for equipment, personnel and logistics to perform diagnostic imaging for a 24-h-coverage with constant quality.


RESULTS
This paper describes criteria for initiation of a shock room or emergency room treatment, strategies for documentation and interdisciplinary algorithms for the early clinical care coordinating diagnostic imaging and therapeutic procedures following standardized guidelines. Diagnostic imaging consists of basic diagnosis, radiological ABC-rule, radiological follow-up and structured organ diagnosis using CT. Radiological trauma scoring allows improved quality control of diagnosis and therapy of multiple injured patients.


CONCLUSIONS
Structured diagnostic imaging of multiple injured patients leads to a standardization of diagnosis and therapy and ensures constant process quality.
Linsenmaier
U
U
Institut für Klinische Radiologie, Klinikum, Universität München, Innenstadt, Ludwig-Maximilians-Universität München, Nussbaumstrasse 20, 80336 München. lin@ch-i.med.uni-muenchen.de
Kanz
K G
KG
Rieger
J
J
Rock
C
C
Pfeifer
K J
KJ
Reiser
M
M
D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005858:Germany; D017052:Hospital Mortality; D006801:Humans; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000401:mortality / Q000601:surgery; D010348:Patient Care Team / Q000458:organization & administration*; D011379:Prognosis; D011446:Prospective Studies; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D011872:Radiology Department, Hospital / Q000458:organization & administration*; D018570:Risk Assessment / Q000706:statistics & numerical data; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices