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Section 1 - Radiology: Imaging -
Trauma Patients in a Deployed
Setting
The initial radiographic evaluation of portable x-ray machine
a trauma patient begins with supine
Anterior-Posterior (AP) chest and
pelvis radiographs taken in the
trauma bay usually with a(n) __________.
T/F: Computed Tomography FALSE. Cervical Spine Radiographic Evaluation
scanning has been largely replaced (CSRE) has been largely replaced by Computed
by Cervical Spine Radiographic Tomography (CT) and should only be performed
Evaluation (CSRE) and should only when a CT is unavailable.
be performed when CSRE is
unavailable.
,What is the lowest level of care Role 3
equipped with a Computed
Tomography (CT) Scanner?
What is the lowest level of care Role 2
equipped with a portable x-ray
machine?
Members of the trauma team should lead
have __________ aprons and thyroid
shields available near the trauma bay
for radiation safety.
Distance is also protective from Six (6)
radiation exposure. If feasible based
on the patient's condition, any
personnel without lead shielding
should move a short distance away
from the x-ray unit. The
recommended minimal distance is
__________ feet.
While the FAST scan has been Focused Abdominal Sonographic Assessment for
validated only in hemodynamically Trauma
unstable blunt trauma patients, it has
become a standard tool in the
trauma bay and Emergency
Department (ED) in most trauma
patients. FAST stands for __________.
FAST in combat trauma has a 98%
sensitivity of only 56% and and
specificity of __________.
, T/F: The FAST exam remains the most FALSE. Diagnostic Peritoneal Lavage (DPL) remains
sensitive test for hollow viscus injury the most sensitive test for hollow viscus injury and
and mesenteric injury. mesenteric injury.
T/F: At the Role 3, properly trained TRUE
providers including radiologists,
surgeons, and emergency physicians,
can perform and interpret FAST
scans in the emergency department
on a hand held portable US device.
A FAST examination is performed Ultra Sound (US)
with a portable hand-held machine
most commonly using a standard 3-7
MHz curved array __________ probe.
The standard FAST examination is Free Intraperitoneal Fluid
focused on evaluating for the
presence of __________ in certain areas
of the body.
When performing a FAST Liver & Kidney
examination on a patient, you inspect
the right upper quadrant. You are
inspecting between which two (2)
organs?
When performing a FAST Spleen & Kidney
examination on a patient, you inspect
the left upper quadrant. You are
inspecting between which two (2)
organs?