Radiographic Pathology: Chapter 12
Traumatic Disease
What is the most common cause of death for individuals between the age of 1 and 44 in
the US? correct answers Trauma
What are the types of accidents that cause trauma? correct answers MVA,
unintentional accidents at home and in the workplace, physical altercations, domestic
violence, and physical abuse
What's the annual cost for traumatic injuries in the US? correct answers $200 billion
Deaths that occur within seconds after injury result from......? correct answers
Lacerations of the brain, spinal cord or heart and great vessels
Deaths that occur during the first 4 hours after injury generally result from....? correct
answers Intracranial hemorrhage, lacerations of the liver, and spleen or significant blood
loss from multiple injuries
Deaths that occur weeks after the injury, which results from......? correct answers
Infection and multiple organ failure
When caring for the trauma patient you must do this. correct answers -Clear airway
must be established
-Acute bleeding must be controlled
-Immobilization of the spine
-Evaluate patient's level of consciousness
-The vital signs:BP, pulse temperature, motor activity
-Evaluate specific areas of the body/skeletal that are injured
What level of trauma has more services available which provide care for all injuries and
are in big cities? correct answers Level I trauma
Level I trauma centers have which kind of techs in house and which on call? correct
answers -Radiographer & CT in house
-US, Angio, & Nuc med on call
What is the most common type of trauma facility and usually located in small towns?
correct answers Level II trauma
, Level II trauma centers have which tech in house and which on call? correct answers -
Radiographer in house
-CT, US, Angio, and Nuc med on call
What level of trauma is in rural areas, Rad tech is available most of the day, but on call
during night shift? correct answers Level III trauma
What is the first imaging modality used with all trauma patients? correct answers
Radiography
What is performed to identify a possible c-spine fracture or basilar skull fracture?
correct answers Crossed table lateral
What is performed to identify possible pneumothorax, pleural effusion, atelectisis or
hemothorax? correct answers Portable AP Chest
What is done to check for pelvic fractures or free air in the abdomen? correct answers
Portable AP pelvis or abdomen
The second preferred imaging modality for traumatic disease correct answers
Computed Tomography
CT is good radiographic modality because....... correct answers Speed to acquire
images, ability to post-process data
Skull fractures, intracranial bleeding, swelling
Abdominal bleeding, lacerations or ruptures
What ___% of c-spine fractures are present on patients with severe head injuries?
correct answers 20%
What must be done when there is trauma to the vertebral column? correct answers -
Head must be immobilized
-Care is given, during intubation
-Blocks can be used to stabilize the position of the head
How does trauma to the vertebral column result? correct answers Direct trauma or
hypertension-flexion injuries or back pain and muscle spasm
What is the most frequent type of injury of a vertebral body, usually in the T-L spine
area (T12-L1)? correct answers Compression fractures
What's a fracture of the arch of the second cervical vertebra, which usually also has an
anterior subluxation of the 2nd cervical vertebra? correct answers Hangman's fracture
Traumatic Disease
What is the most common cause of death for individuals between the age of 1 and 44 in
the US? correct answers Trauma
What are the types of accidents that cause trauma? correct answers MVA,
unintentional accidents at home and in the workplace, physical altercations, domestic
violence, and physical abuse
What's the annual cost for traumatic injuries in the US? correct answers $200 billion
Deaths that occur within seconds after injury result from......? correct answers
Lacerations of the brain, spinal cord or heart and great vessels
Deaths that occur during the first 4 hours after injury generally result from....? correct
answers Intracranial hemorrhage, lacerations of the liver, and spleen or significant blood
loss from multiple injuries
Deaths that occur weeks after the injury, which results from......? correct answers
Infection and multiple organ failure
When caring for the trauma patient you must do this. correct answers -Clear airway
must be established
-Acute bleeding must be controlled
-Immobilization of the spine
-Evaluate patient's level of consciousness
-The vital signs:BP, pulse temperature, motor activity
-Evaluate specific areas of the body/skeletal that are injured
What level of trauma has more services available which provide care for all injuries and
are in big cities? correct answers Level I trauma
Level I trauma centers have which kind of techs in house and which on call? correct
answers -Radiographer & CT in house
-US, Angio, & Nuc med on call
What is the most common type of trauma facility and usually located in small towns?
correct answers Level II trauma
, Level II trauma centers have which tech in house and which on call? correct answers -
Radiographer in house
-CT, US, Angio, and Nuc med on call
What level of trauma is in rural areas, Rad tech is available most of the day, but on call
during night shift? correct answers Level III trauma
What is the first imaging modality used with all trauma patients? correct answers
Radiography
What is performed to identify a possible c-spine fracture or basilar skull fracture?
correct answers Crossed table lateral
What is performed to identify possible pneumothorax, pleural effusion, atelectisis or
hemothorax? correct answers Portable AP Chest
What is done to check for pelvic fractures or free air in the abdomen? correct answers
Portable AP pelvis or abdomen
The second preferred imaging modality for traumatic disease correct answers
Computed Tomography
CT is good radiographic modality because....... correct answers Speed to acquire
images, ability to post-process data
Skull fractures, intracranial bleeding, swelling
Abdominal bleeding, lacerations or ruptures
What ___% of c-spine fractures are present on patients with severe head injuries?
correct answers 20%
What must be done when there is trauma to the vertebral column? correct answers -
Head must be immobilized
-Care is given, during intubation
-Blocks can be used to stabilize the position of the head
How does trauma to the vertebral column result? correct answers Direct trauma or
hypertension-flexion injuries or back pain and muscle spasm
What is the most frequent type of injury of a vertebral body, usually in the T-L spine
area (T12-L1)? correct answers Compression fractures
What's a fracture of the arch of the second cervical vertebra, which usually also has an
anterior subluxation of the 2nd cervical vertebra? correct answers Hangman's fracture
