Editing Trauma

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! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

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Major trauma
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CT head, neck, split bolus: chest, abdomen and pelvis
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Neck 0.75 mm axial slices. Sagittal and coronal recons. Body and bone/lung: 1.5 mm with 1.2 mm increment. Sagittal and coronal recons.
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60 ml contrast at 3 ml/s then 60 ml saline at 3 ml/s then 40 ml contrast at 4 ml/s then 40 ml saline at 3 ml/s

Scan at 60 s post contrast
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CT HNCAP +  C

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Bladder injury
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CT cystogram, 50 ml water soluble contrast (300 mg/ml) in 500 ml water and instill ~350 ml via catheter, then clamp and scan
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1.5 mm B30f, 1.2 mm increment.
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CT Cystogram

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Renal collecting system injury 
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When suspected following trauma scan, a delayed CT may be indicated. Ideally at time of scanning or if recognized later, later as a single phase.
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1.5 mm B30f, 1.2 mm increment.
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10 minute delay opacifies ureters
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CT delayed phase/urographic phase abdo/pelvis

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Fracture neck of femur
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No CT - MRI
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