1. CT Scanning: The Course Rich Lehrer, CRT, BS Ed.

2. What we’ll talk about... 4 What’s a CT Scanner? 4 MOI 4 Normal Radiographic Appearance 4 Injured Radiographic Appearance

3. Helical Scan

4. Anatomy presented 4 Head –EDH 4 Facial Bones –Orbital Blow-Out –Z Arch & Mandible 4 C -Spine 4 T- Spine 4 L - Spine 4 Chest –Flail Chest –Pneumothorax –Hemothorax –Aortic Aneurysm 4 Abdomen –Solid Organ Lacs. 4 Pelvis 4 Extremity

5. Indications for CT Head 4 Neurologic Deficit 4 Observed LOC or decreasing LOC 4 Severe Trauma 4 Obvious Injury 4 Penetrating Injury 4 Vomiting, HA, other unexplained behavior

6. Head Scans 4 Subdural Hematoma 4 Epidural Hematoma 4 Basal Skull Fx 4 Coup Contra Coup 4 Depressed Skull Fx

10. Epidural Hematoma

11. Mass effect of the brain

12. Subarachnoid Hemorrhage

14. S/P Rock to head 2 days ago...

15. Facial Bones 4 La Forte I, II, III 4 Orbits - Blowout Fx 4 Maxillary Sinus filled with blood 4 Mandible Fx 4 Zygomatic Arch

16. AxialCoronal

17. Incidental Mandibular Fracture

18. Zygomatic Arch Fx.

19. Chest 4 Fractured Ribs –1-3 indicate High Impact - look for other injury 4 PTX & Hemothorax 4 Aneurysm 4 Rib FX may cause other abdominal injury

20. Fractured Sternum

21. Pneumothorax

22. Dissecting Aneurysm

23. Still going...

24. 3-D Recon Sagittal

26. Fractured Rib

27. Fractured Ribs sharp and pointy...

28. Abdomen Scan vs. DPL 4 CT Scan 4 + Less Invasive 4 + Solid Organ Lacerations 4 + Retroperitoneal Bleed 4 - Contrast Injection 4 - Not sensitive to bowel injury 4 Decreasing Hct.(6 points) 4 DPL 4 + Can be preformed anywhere 4 + Bowel Lacerations 4 - Retroperitoneal Bleed 4 - More Invasive

30. Liver Laceration

31. Kidney Laceration

32. Sometimes we see spinal fractures on abdominal scans.

33. Reconstruction (MPR) 4 All the images exist in electronic format. 4 Put them back together again. 4 Manipulate them. 4 Display them in any format that you want.

34. L Spine 3-D Reconstruction

35. T-spine Fx

37. Pelvis 4 Acetabular Fx 4 Other Pelvic Fracture 4 3-D Reconstruction

38. 3-D Recon of Pelvic Fx.

39. Calcaneous

40. Out in the field... 4 Allergy history 4 Diabetic? 4 Kidney Function and/or Dialysis?

41. Thanks for inviting me... 4 Hope you enjoyed this whirlwind tour! 4 Come visit us anytime.