Trauma and 'Whole' Body Computed Tomography: Role, Protocols, Appropriateness, and Evidence to Support its Use and When Author links open overlay panel

Daniela Galan MD, Kim M. Caban MD, Leandro Singerman MD, Thiago A. Braga MD, Fabio M. Paes MD, MBA, Douglas S. Katz MD, Felipe Munera MD

Abstract

• Non-invasive imaging with whole-body computed tomography (WBCT) is an excellent tool for the prompt screening, diagnosis, management, and surveillance of potentially life-threatening trauma-related injuries in the significantly or severely injured patient; however, its role in those without obvious injury is debatable.
• WBCT may be used to identify unexpected critical injuries and incidental findings that may affect mortality and morbidity, thereby making it appropriate despite associated costs and radiation exposure.
• The decision to utilize WBCT in trauma is ultimately that of the managing medical/surgical team.