ArticleInsights into imaging2020
European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version).
Article in Insights into imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- ESR Essentials: blunt abdominal trauma in adult patients: vascular injuries to solid organs and mesentery-practice recommendations by the European Society of Emergency Radiology.European radiology · 2026Guideline
- Pooled it
- CIRSE Standards of Practice for the Provision of Emergency IR Care on a 24/7 Basis.Cardiovascular and interventional radiology · 2026Guideline
- CT in adult patients with Polytrauma: current practices, protocol optimization, structured reporting and future directions.Emergency radiology · 2026Review
- Combined Post-traumatic Pseudoaneurysms of the Superior Gluteal and Aberrant Obturator Arteries: A Case Report.Cureus · 2026Article
- Pneumothorax and Hemothorax: Practical Approaches for Radiologists.Journal of the Korean Society of Radiology · 2026Review
- Imaging Pathways in Pediatric Thoracic Trauma: FAST-First Triage and Selective CT Escalation in Clinical Practice.Diagnostics (Basel, Switzerland) · 2026Article
- Classification of incidental findings in polytrauma computed tomography.Insights into imaging · 2026Article
- [Emergency diagnostics of blunt abdominal trauma and treatment of retroperitoneal bleeding].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Comparison of Virtual Dose Simulator and K-Factor Methods for Effective Dose Assessment in Thoracic CT.Tomography (Ann Arbor, Mich.) · 2025Article
- Detection rate of dental trauma and maxillofacial injuries in high-energy polytrauma patients on total body CT: incidence and underestimation.Emergency radiology · 2025Article
- Penetrating extremity injuries in a large Scandinavian Level-1 trauma center: a 4-year analysis of imaging methods, mechanisms of injury and clinical outcome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Neuroimaging for neurovascular complications of traumatic brain injury.Critical care (London, England) · 2025Review
- Comparison of image quality of split-bolus computed tomography versus dual-phase computed tomography in abdominal trauma.Polish journal of radiology · 2025Article
- Exploring the Intersection of Blood Transfusion and Same-Day Computed Tomography Imaging: An Overview of Clinical Risks and Practices.Diagnostics (Basel, Switzerland) · 2024Review
- CTA Imaging of Peripheral Arterial Injuries.Diagnostics (Basel, Switzerland) · 2024Review
- Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS).World journal of emergency surgery : WJES · 2024Article
- The acute phase management of traumatic spinal cord injury (tSCI) with polytrauma: A narrative review.Brain & spine · 2024Review
- Traumatic segmental renal infarction due to renal apical artery thrombosis by minor blunt abdominal trauma: the role of CEUS.Journal of ultrasound · 2023Article
- Multidetector CT Imaging Biomarkers as Predictors of Prognosis in Shock: Updates and Future Directions.Diagnostics (Basel, Switzerland) · 2023Review
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough some national recommendations for the role of radiology in a polytrauma service exist, there are no European guidelines to date. Additionally, for many interdisciplinary guidelines, radiology tends to be under-represented. These factors motivated the European Society of Emergency Radiology (ESER) to develop radiologically-centred polytrauma guidelines.
resultsEvidence-based decisions were made on 68 individual aspects of polytrauma imaging at two ESER consensus conferences. For severely injured patients, whole-body CT (WBCT) has been shown to significantly reduce mortality when compared to targeted, selective CT. However, this advantage must be balanced against the radiation risk of performing more WBCTs, especially in less severely injured patients. For this reason, we recommend a second lower dose WBCT protocol as an alternative in certain clinical scenarios. The ESER Guideline on Radiological Polytrauma Imaging and Service is published in two versions: a full version (download from the ESER homepage, https://www.eser-society.org ) and a short version also covering all recommendations (this article).
conclusionsOnce a patient has been accurately classified as polytrauma, each institution should be able to choose from at least two WBCT protocols. One protocol should be optimised regarding time and precision, and is already used by most institutions (variant A). The second protocol should be dose reduced and used for clinically stable and oriented patients who nonetheless require a CT because the history suggests possible serious injury (variant B). Reading, interpretation and communication of the report should be structured clinically following the ABCDE format, i.e. diagnose first what kills first.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.