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Table 8 Section 5: Whole Body CT – Positioning, key issue 1: patient orientation

From: European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Key question: How does head- or feet-first positioning affect a polytrauma – WBCT scan?
No Statement(s) Cons Grade Cons
5.1.1 If it is logistically possible, the patient ought to be positioned on the examination table with her/his feet in front of the gantry 86%
normal
GPP
B
86%
normal
5.1.2 Otherwise, the scan ought to be done head first 100%
strong
GPP
B
86%
normal
Literature: detected = 328, excluded = 323, full-text: rated = 5, excluded = 5, included = 0
Comments: Although without any evidence, the advantages of feet-first positioning appear to be clear in terms of reduced radiation exposure of personnel, reduced artifacts due to cable routing, reduced cable routing problems, easier accessibility to the head