Proactive Use of Whole Body Computed Tomography and Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemodynamically Unstable Trauma Patients

Abstract

It has been well known that the whole body computed tomography (WBCT) scan in hemodynamically unstable trauma patients should not be performed due to the time concern. Recently, with the shortening of the CT scan time accomplished by its quick preparation and scanning, WBCT in those patient population including resuscitative endovascular balloon occlusion of the aorta (REBOA) utilization could lead to better subsequent management, especially to patients with certain situations. At the time of CT scan with contrast, REBOA is not necessarily deflated further. The training of CT scanning could shorten the CT room stay time even within 5 min. The images acquired should be read quickly and precisely following focused assessment with CT for trauma by a trauma radiologist. REBOA-WBCT scan in hemodynamically unstable trauma patients with appropriate protocols and image readings might be the tool for choosing a better modality in order for us to restrain hemorrhage.