Mandatory medical device diagnostics.
- Abdominal ultrasonography (ultrasound examination of abdominal organs) according to FAST(“focused assessment with sonography for trauma”) or eFAST(“extended FAST”) protocol
- Free fluid? (Hematoperitoneum/bleeding into the free abdominal cavity): if so, indicates internal bleeding
- Organ injuries? Organ ruptures (organ tears)? [v. a. spleen, liver, pancreas (pancreas)]
- Radiographic examination of the abdomen – in the standing or left lateral position [foreign body? organ displacement? free air in the abdomen?]
- X-ray of the thorax (radiographic thorax/chest) – to rule out associated injuries such as pneumothorax (collapse of the lung caused by an accumulation of air between the visceral pleura (lung pleura) and the parietal pleura (chest pleura)), diaphragmatic rupture (tear of the diaphragm), bronchial injury (injury to the bronchi), esophageal injury (injury to the esophagus)
- Computed tomography (CT; sectional imaging procedure (X-ray images taken from different directions with computer-based analysis)).
- Note: In children, this examination should not be performed routinely because of the radiation dose. However, indications in any case are the detection of free fluid in the abdominal cavity and unstable vital signs
- In polytrauma (multiple injuries): spiral CT (spiral computed tomography), that is, the abdomen, thorax (chest) and skull are examined in one pass
- If necessary, X-ray of the extremities
