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Trauma Imaging Protocol (ATLS/ACR)

Trauma Imaging Protocol (ATLS/ACR): Trauma Patient → Primary Survey Complete → Hemodynamic Status? → Limited Imaging → FAST Exam.

Pathway Overview

9 steps

Algorithm Steps

9 total

  1. 01Start

    Trauma Patient

  2. 02Action

    Primary Survey Complete

    ABCDE, hemodynamic status

  3. 03Decision

    Hemodynamic Status?

    • Stable
    • Unstable
  4. 04Action

    Limited Imaging

    CXR, pelvis XR, FAST only

  5. 05Decision

    FAST Exam

  6. 06End

    OR for Hemorrhage Control

  7. 07End

    Pan-CT

    Head, C-spine, Chest, Abdomen/Pelvis

  8. 08Decision

    Significant Mechanism?

  9. Path rejoins step 07Shared downstream outcome
  10. 09Action

    Selective Imaging

    Based on exam and mechanism

Guideline Source

ATLS 10th Edition + ACR Appropriateness

DOI: 10.1016/j.jacr.2020.01.033View Guideline

Clinical Safety Information

Clinical Decision Support — Not a Substitute for Clinical Judgment

Individual patient factors may require deviation from these recommendations.

Known Limitations

  • Pan-CT has radiation concerns
  • FAST sensitivity limited for solid organ
  • Delayed presentation of hollow viscus injury

Applicable Regions

USAUUKEU

AU: RACS/EMST follows ATLS

US: ATLS/ACR standard

Version 1Next review: 2028-01-01

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Frequently Asked Questions

What is the Trauma Imaging Protocol (ATLS/ACR)?

The Trauma Imaging Protocol (ATLS/ACR) is a diagnostic clinical algorithm for Radiology. It provides a structured decision tree to guide clinical decision-making, based on ATLS 10th Edition + ACR Appropriateness.

What guideline is the Trauma Imaging Protocol (ATLS/ACR) based on?

This algorithm is based on ATLS 10th Edition + ACR Appropriateness (DOI: 10.1016/j.jacr.2020.01.033).

What are the limitations of the Trauma Imaging Protocol (ATLS/ACR)?

Known limitations include: Pan-CT has radiation concerns; FAST sensitivity limited for solid organ; Delayed presentation of hollow viscus injury. Individual patient factors may require deviation from these recommendations.

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