To review the indications for the different medical devices most commonly used to manage acutely injured patients in the trauma setting To illustrate with examples the radiological appearance of these medical devices To illustrate common complications and pitfalls of these devices Fig 1
In the trauma setting a number of internal and external medical devices are used to maintain life support and manage severe injuries of unstable patients.
Common devices such as endotracheal tube,
and chest and abdominal drains are well known to most radiologists. Nevertheless,
radiologists with limited trauma experience might not be familiar with the appearance of otherdevices such as tracheostomy,
laryngeal airway mask,
Findings and procedure details
We have classified the following devices according to location in the body. AIRWAY DEVICES 1. Endotracheal Tube Indications: Definitive airway (a cuffed tube in the trachea). In paediatrics an uncuffed tube is used. Position: The tip of the tube should be situated approximately 5cm above the tracheal carina,
so excursions of 2cm upward or downward (with neck extension or flexion) can be safely accommodated. Fig 2,
3,4,5 2. Nasopharyngeal Airway Tube Indications: The Nasopharyngeal airway...
Familiarity with the different medical devices used in the trauma setting will allow the radiologist to help the Trauma Team rapidly identify correctly and incorrectly positioned devices.
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