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17 results found

Amsterdam wrist rules

The Amsterdam wrist rules are validated clinical decision rules for determining which patients require radiographic imaging (wrist radiography) for acute wrist pain following trauma. The initial study evaluated 882 patients and were published in 2015 1. The decision rules assessed different clin...

Canadian CT head rule

The Canadian CT head rule (CCTHR) is a validated clinical decision rule to determine the need for CT head in adult emergency department patients with minor head injuries. Inclusion criteria Patient has suffered minor head trauma with resultant: loss of consciousness GCS 13-15 confusion amn...


The Children’s Head injury ALgorithm for prediction of Clinically Important Events (CHALICE) clinical decision rule was developed to predict clinically important brain injuries in children with head trauma. This rule identifies high-risk criteria and divides them into history, examination and me...

CT cystography

CT cystography is a variation of the traditional fluoroscopic cystogram. Instead of anterograde opacification of the urinary collecting system (as with CT urography), contrast is instilled retrograde into the patient's bladder, and then the pelvis is imaged with CT. Indications suspected bladd...

CT polytrauma (approach)

Below is an approach used for the "primary survey" of a CT polytrauma/multitrauma (also called trauma CT or whole body CT), often performed at the CT console with the patient still on the CT table. It allows rapid communication of significant findings to the trauma team as well as the decision ...

Denver criteria for blunt cerebrovascular injury

The Denver criteria are a set of screening criteria for blunt cerebrovascular injury (BCVI) in trauma used to reduce the need for CT angiography and its associated radiation exposure.  Screening criteria The screening protocol criteria 1,3 for BCVI are divided into signs and symptoms of BCVI a...

Describing a fracture (an approach)

Describing a fracture is a basic requirement when making an assessment of a plain radiograph. There are many ways to approach the assessment of the radiograph; this is just one approach. I: Describe the film What film (or films) are you looking at? Check the who, what, why, when, and where. I...

Dolan's lines

Dolan's lines are the collective name given to three lines described by Dolan and Jacoby 1 that aid in evaluating for maxillofacial fractures on an occipitomental skull radiograph. They are usually used as an adjunct to McGrigor-Campbell lines. orbital line traces the inner margins of the later...

Extradural haematoma vs subdural haematoma

Differentiating extradural (EDH) from subdural (SDH) haemorrhage in the head is usually straightforward, but occasionally it can be challenging. SDHs are more common and there are a few distinguishing features which are usually reliable. Pathology History and mechanism of injury Extradural ha...

Focussed Assessment with Sonography for Trauma (FAST) scan

Focussed Assessment with Sonography for Trauma (FAST) scan is a point-of-care ultrasound examination performed at the time of presentation of a trauma patient.  It is invariably performed by a clinician, who should be formally trained, and is considered as an 'extension' of the trauma clinical ...

Imaging of gunshot injuries

Gunshot injuries often require imaging assessment, and this evaluation has both clinical relevance (assessment of organ damage, surgical planning and prognostication), and often also forensic implications. Epidemiology Incidence of gunshot injuries to the head is increasing in some countries, ...

Isolated free fluid in trauma

Isolated free fluid in trauma may or may not represent a significant injury, and this creates a diagnostic dilemma in determining appropriate treatment for these patients.  Epidemiology The presence of isolated free fluid in trauma occurs in 3-5% of blunt trauma patients 1-4. Pathology The c...

McGrigor-Campbell lines

McGrigor-Campbell lines are imaginary lines traced across the face on an occipitomental (Waters) view skull radiograph to assess for fractures: first line is traced from one zygomaticofrontal suture to another, across the superior edge of the orbits second line traces the zygomatic arch, cross...

PECARN traumatic brain injury algorithm

The PECARN (Paediatric Emergency Care Applied Research Network) traumatic brain injury algorithm is a clinical decision rule that aims to identify children at very low risk of clinically important traumatic brain injury (ci-TBI) 1. This validated paediatric algorithm predicts likelihood of the a...

Physiological pelvic intraperitoneal fluid

Physiological pelvic intraperitoneal fluid refers to the presence of a small volume of free fluid in the pelvis, particularly the pouch of Douglas. It occurs in young females of reproductive age and can be a mimic of traumatic free fluid in abdominal trauma. Unfortunately, pelvic free fluid may...


Pneumothorax refers to the presence of gas (air) in the pleural space. When this collection of gas is constantly enlarging with resulting compression of mediastinal structures, it can be life-threatening and is known as a tension pneumothorax. For those pneumothoraces occurring in neonates see t...

Rapid ultrasound in shock

The rapid ultrasound in shock (RUSH) protocol is a structured point-of-care ultrasound (POCUS) examination performed at the time of presentation of a shocked patient. It is a more detailed and longer exam than the FAST scan, with the aim to differentiate between hypovolemic, cardiogenic, obstruc...

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