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Recent developments in the assessment of the multiply injured trauma patient

Campion, Eric M.; Mackersie, Robert C.

Current Opinion in Critical Care: December 2014 - Volume 20 - Issue 6 - p 620–625
doi: 10.1097/MCC.0000000000000151
TRAUMA: Edited by Jacques Duranteau
Editor's Choice

Purpose of review To provide an update on the recent developments and controversies in the assessment of the traumatically injured patient.

Recent findings Recent literature suggests that: whole-body computed tomography (CT) is an effective strategy in more severely injured blunt trauma patients; 64-slice CT scanning now provides an effective noninvasive screening method for blunt cerebrovascular injury; the need for MRI imaging, in addition to CT, for the diagnosis of occult ligamentous injury of the cervical spine remains an unresolved controversy; point-of-care testing has made significant improvements in our ability to predict which patients will need a massive transfusion; and thromboelastography has enhanced our ability to tailor a hemostatic resuscitation more accurately.

Summary The recent advances in the assessment of the multiply injured patient allow clinicians to more efficiently diagnose a patient's injuries and implement treatment in a more timely manner.

University of California, San Francisco and San Francisco General Hospital, San Francisco, California, USA

Correspondence to Eric M. Campion, MD, 1001 Potrero Ave Ward 3A, San Francisco, CA 94110, USA. Tel: +1 415 206 4627; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins