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Table 3 Revised criteria for immediate whole-body computed tomography in trauma patients

From: The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition

Trauma patients with one of the following parameters at hospital arrival:

 Systolic blood pressure < 100 mmHg

 Estimated exterior blood loss ≥ 500 mL

 Glasgow coma scale score ≤ 13 or abnormal pupillary reaction

AND/OR

Patients with a clinical suspicion of one of the following diagnoses:

 Fractures of at least two long bones

 Flail chest, open chest, or multiple rib fractures

 Severe abdominal injury

 Pelvic fracture

 Unstable vertebral fractures/spinal cord compression

AND/OR

Patients with one of the following injury mechanisms:

 Fall from a height (> 4 m/> 13 ft)

 Wedged or trapped chest/abdomen

  1. Criteria reprinted with permission [99]
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Critical Care

ISSN: 1364-8535