Polytrauma due to a high-speed car accident (rear passenger with belt)

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Female patient victim of a high-speed car accident (rear passenger with belt). At start of care by emergency services, she was found in a coma, Glasgow of 5, with anisocoria (right > left) and a frontal deteriorating scalp wound (15-20 cm) with extensive bleeding. She was intubated prior to transfer to the university hospital.

 

The body scan is provided.

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Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Head CT, Axial plane, Soft tissue window

Head CT, Axial plane, Soft tissue window

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Head CT and Cervical spine, Axial plane, Bone window

Head CT and Cervical spine, Axial plane, Bone window

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Cervical and dorsal spine, Sagittal plane, Bone window

Cervical and dorsal spine, Sagittal plane, Bone window

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Head CT, Chest, Abdomen and Pelvis, Arterial phase, Axial plane

Head CT, Chest, Abdomen and Pelvis, Arterial phase, Axial plane

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Neck vessels, Coronal plane

Neck vessels, Coronal plane

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Abdomen CT,  Portal venous phase, Axial plane

Abdomen CT, Portal venous phase, Axial plane

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Chest CT, Lung window, Axial plane

Chest CT, Lung window, Axial plane

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Abdomen CT, Delayed phase, Axial plane

Abdomen CT, Delayed phase, Axial plane

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Lombar spine, Axial plane, Bone window

Lombar spine, Axial plane, Bone window

Craniocerebral trauma, Carotid artery injury with dissection, traumatic perforation of GI tract, pulmonary artery injury, Chance fracture Dorsal and lumbar spine, Sagittal plane, Bone window

Dorsal and lumbar spine, Sagittal plane, Bone window