CETARS/CAR Practice Guideline on Imaging the Pregnant Trauma Patient

Area of Science:

• Radiology
• Emergency Medicine
• Obstetrics

Background:

• Traumatic injuries in pregnant patients raise concerns about fetal radiation exposure.
• Anxiety surrounding imaging can lead to diagnostic delays or avoidance of necessary procedures.

Purpose of the Study:

• To develop evidence-based recommendations for imaging pregnant trauma patients.
• To address patient safety concerns, including radiation and contrast use.
• To provide guidance on counselling and initial imaging strategies.

Main Methods:

• Literature review and multidisciplinary expert panel discussions.
• Inclusion of academic radiologists, emergency physicians, and maternal-fetal medicine specialists.
• Development of recommendations for various imaging modalities like fluoroscopy, angiography, and MRI.

Main Results:

• Updated recommendations for imaging pregnant trauma patients.
• Emphasis on patient safety aspects, including radiation and contrast.
• Guidance on counselling and initial imaging in maternal trauma.

Conclusions:

• Pregnant trauma patients should not be imaged differently.
• Guidelines aim to reduce anxiety and ensure appropriate care.
• Recommendations cover initial imaging, safety, and specific modalities.