The role of interventional radiology in the interdisciplinary management of abdominopelvic trauma in the United States
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Trauma care across the globe has evolved greatly over the years. However, trauma remains a major contributor to morbidity and mortality as the third leading cause of death in the United States. It also accounts for a considerable portion of healthcare costs. In light of this, and in order to reduce its adverse impacts, appropriate and effective management is necessary. Emergency Medicine, Trauma Surgery, Interventional Radiology and many other specialties contribute to the acute care of patients in the setting of trauma. Other areas of medicine have shown that a clearly outlined multidisciplinary approach to management can lead to better outcomes and shorter hospital stays, specifically where it pertains to rapid response situations. Interventional Radiology has been found to be effective in managing trauma patients presenting with abdominopelvic injury but a clear approach to when they should be involved has yet to be developed. In fact, studies have shown that precise decision making regarding surgical versus non-operative management of trauma patients is essential to providing appropriate care and improving patient outcomes. In order to accomplish this, Interventional Radiology and Trauma Surgery need to have a prompt, active and collaborative dialogue when patients present with such injuries. A description and analysis of the current approach to management of patients with abdominopelvic trauma and subsequent outcomes at a Level 1 Trauma Center will provide valuable insight into how to establish a protocol that could lead to better selection of minimally invasive interventions and in turn improved patient outcomes.