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Gäble, Alexander; AlMatter, Muhammad; Armbruster, Marco; Berndt, Maria; Kursumovic, Adisa; Mühlmann, Marc; Kimmig, Hubert; Kumle, Bernhard; Ritz, Rainer; Russo, Sebastian; Schmid, Frank; Wanner, Guido and Wirth, Stefan (2020): Schockraumdiagnostik. In: Radiologe, Vol. 60, No. 7: pp. 642-651

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Clinical problem The indication for resuscitation room care is an acute (potentially) life-threatening patient condition. Typical causes for this are polytrauma, acute neurological symptoms, acute chest and abdominal pain or the cause remains unclear at first. The care is always provided in a suitably composed interdisciplinary team. This requires cause-specific standards tailored to the care facility and requires a mutual understanding of the partners involved with regard to specialist interests and care processes. Standard radiological methods Whole-body CT is established for polytrauma imaging and usually each institution has already defined an institutional standard. For the other causes, first imaging with CT is just as common, but the protocols and procedures to be used are often not as clear as in the case of polytrauma. Methodical innovation and evaluation For polytrauma service, ATLS and procedures according to ABCDE already serve as a largely standardized framework in the resuscitation room. For every other group of causes, comparable concepts should be developed and institutionally strive for objectification of continuous improvement. This refers not only to the resuscitation room stay but also to the interfaces before and after resuscitation room service. Practical recommendations After the patient has arrived, it has to be determined whether the assessment of a vital risk is retained. If so, institutionally defined care standards must be followed for the various causes. This concerns the interface logistics, the definition of a team leader including associated tasks, the supply processes including the CT examination protocols as well as the close communication.

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