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Trauma CT reporting Pro Forma
Trauma CT reporting Pro Forma
Acute Primary Assessment Report for Paediatric CT
with Major Trauma
Patient Name | |
Patient Number | |
Date of Scan |
To guide initial management only. A formal report will follow. The trauma team will be notified of any major alterations to this primary assessment
Primary Assessment Trauma Plain Films (for stable children)
Cervical Spine
Normal | No CT C-spine indicated |
Abnormal / Clinical suspicion | CT C-spine required |
Chest X-Ray
Normal | No CT chest indicated Proceed to CT abdo/pelvis if needed |
Abnormal / Clinical suspicion | CT TAP required |
CT Scanning Preliminary Review
Airway: | No CT chest indicated Proceed to CT abdo/pelvis if needed |
ET placement N/A | Satisfactory Unsatisfactory |
Airway obstruction | Yes / No |
-
Breathing: | |
Contusion | Yes No |
Laceration | Yes No |
Pneumothorax | Yes No |
Chest drain placement N/A | Satisfactory Unsatisfactory |
Circulation (bleeding): | |
Pericardial effusion | Yes No |
Thoracic injury | Yes No |
Thoracic injury retroperitoneal | Yes No |
visceral | Yes No |
Pelvic injury | Yes No |
Soft tissue | Yes No |
-
Disability: | |
Intracranial bleed/oedema | Yes / No |
Major spinal injury (cord compromise) | Yes / No |
Comments: | |
Radiologist Name | |
Time |