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Trama Radiology
Question | Answer |
---|---|
Define trauma | severe injury or damage to the body caused by accident or violence |
what is the most common trauma case | motor vehicle accidens |
What is a level 1 trauma center? | University based research or teaching hospital Most comprehensive care imaging 27hrs |
what is a level 2 trauma center? | not a research or teaching hospital doctors may not be available 24hrs |
what is a level 3 trauma center? | Does not have all the specialties available but cannot resuscitate and stabilize a patient for transfer to a level one or a level II Trauma Ctr. |
What is a level 4 trauma center | Outpatient |
What can mobile fluoroscopy units for C-arm speed used for | Maybe use for fracture reduction or foreign body localization |
What are the best practices in trauma radiography | Speed accuracy quality |
What is the most important things for patient preparation | Communication |
Can a radiographer remove a immobilization device | Not unless order by a physician |
What projection is done first for the C-spine in a trauma situation | The lateral |
Which projection is required if C7 and top of T1 is not demonstrated on the lateral C-spine | Lateral cervicothoracic spine swimmers position |
What is the CR for the AP axial cervical spine trauma | Directed 15 to 20° cephalic enter midsagittal plane and see for |
Where is the IR placed on the AP axial cervical spine | Under spine board if present centered to C4 |
What is demonstrated on the AP axial cervical spine trauma | C3- T1 or T2 including all soft tissue |
Where is the IR place for the AP axial oblique cervical spine | Under the spine board if present Center to C4 and adjacent to the mastoid process |
Where is the CR for AP axial oblique cervical spine | CR has a double angle 45° lateral medial and 15 to 20° cephalad CR enters laterally to the MSP at level of C4 |
Which projection is done first to for the thoracic and lumbar spine | Dorsal decubitus |
Should your grid be placed vertical for the thoracic and lumbar spine work | Yes |
Where is the IR place for the dorsal decubitus thoracic and lumbar spine | Top of IR 1 1/2 to 2 inches above the shoulders for thoracic spine centered to the level of iliac crest for lumbar spine |
In what direction is your CR for the dorsal decubitus position | Horizontal |
What should be checked on your order for a trauma chest | If air fluid levels need to be demonstrated |
If an air fluid levels need to be demonstrated on a traumatic chest what position will be used | Dorsal decubitus |
Where is the IR center for an abdomen trauma | IR centered MSP at level of iliac crest |
What does the image demonstrate for a trauma abdomen | Entire abdomen was pubic synthesis visiable at the lower borders |
Where is the IR center for pelvis trauma | IR is Center 2 inches above pubic synthesis or 2 inches below the anterior superior iliac spine ASIS |
True or false The lower limbs are rotated internally in a trauma case | False |
Where is the patient with head trauma injuries referred to first | CT |
Where is the patient with facial bone injuries referred to first | CT |
How many projections are required for upper and lower limbs in a trimer situation | Two projections at 90° from each other |
True or false We should attempt to rotate severely injured limbs for truth lateral position | false |
Is the demonstration of adjacent joints required for long bones in a trauma situation | Yes take separate projections if necessary |
In order to maximize patient safety and comfortability would you move the IR and CR or would you move the injured limb? | IR and CR |
What is the modality of choice for trauma patients | Computerized tomography CT |