[Radiological intervention in multiply injured patients]

Area of Science:

• Emergency Medicine
• Radiology
• Vascular Surgery

Background:

• Uncontrolled hemorrhage from major arteries and parenchymal organs is a leading cause of early mortality after severe trauma.
• Traumatic heart and aortic injuries result in immediate fatalities at the scene.
• Rapid diagnosis and treatment are essential for managing severe traumatic injuries.

Purpose of the Study:

• To highlight the importance of timely diagnosis and intervention in severe trauma.
• To discuss the role of multislice spiral computed tomography in evaluating severely injured patients.
• To review interventional procedures for managing life-threatening hemorrhage in trauma.

Main Methods:

• Utilizing multislice spiral computed tomography for imaging severely injured patients.
• Employing interventional radiology techniques such as embolization, stenting, and temporary balloon occlusion.
• Applying these methods for hemorrhage control in arterial and organ injuries.

Main Results:

• Multislice spiral computed tomography is a valuable tool for assessing severe trauma.
• Interventional procedures can effectively manage hemorrhage from various sources.
• Stenting and balloon occlusion are vital for preventing exsanguination in aortic and major arterial ruptures.
• Transcatheter embolization is effective for visceral organ bleeding, arteriovenous fistulas, and secondary hemorrhage.

Conclusions:

• Prompt diagnosis and intervention are critical for improving survival rates in severe trauma.
• Multislice spiral computed tomography combined with interventional radiology offers life-saving treatment options.
• Interventional techniques play a significant role in controlling hemorrhage and preventing death in trauma patients.