. 9999; 0(Revisions Needed): 0-0

Necessity of emergency chest X-ray in multiple trauma patient with Injury Severity Score > 15

Alireza Ala1, Samad Shams-vahdati2, Golnaz Majidi1, Respina Jalilian3
1Department of emergency medicine, Tabriz University of Medical Sceinces, Tabriz, Iran
2Road Traffic Injury Research Center, Tabriz University of Medical Sceinces, Tabriz, Iran
3Tabriz University of Medical Sceinces, Tabriz, Iran

Aim:
This study was aimed to evaluate necessity of performing CXR in patients with multiple traumas and Injury Severity Score (ISS)>15.
Materials and Methods
In a cross-sectional study conducted on trauma patients, the clinical and radiographic findings of all the patients were collected and the relationships between these variables analyzed based on ATLS guidelines.
Results
A total of 170 patients were included that 114 (67.1%) of them were male. The mean age of male was 33.86±17.36 years and female 37.75±18.33 years (P=0.181). 26 patients complained of symptoms, 7 patients of dyspnea and 19 patients of chest pain. Clinical examination was abnormal in 28 patients, emphysema in one patient, ecchymosis in one patient and local tenderness in 26 patients.
CXR was performed for all patients, it was normal in 161 patients (94.7%). It detected rib fracture in 6 patients (3.5%), pulmonary contusion in 2 patients (1.2%) and hemothorax in 1 patient (0.6%).
Conclusion
Investigation the necessity of emergency CXR in multiple trauma patients with ISS> 15 showed that in stable patients who lacks signs and symptoms there is no need to perform CXR and instead we suggest physical exam to detect any problem.

Keywords: chest X-ray, multiple trauma patients, injury severity score, chest injury


Alireza Ala, Samad Shams-vahdati, Golnaz Majidi, Respina Jalilian. Necessity of emergency chest X-ray in multiple trauma patient with Injury Severity Score > 15. . 9999; 0(Revisions Needed): 0-0

Corresponding Author: Respina Jalilian, Iran


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