In resource-limited settings, a pragmatic pathway of universal NCCT screening with selective CCT can safely guide management of traumatic VSI without compromising outcomes. In the authors' setting, routine use of CCT is unlikely to improve outcomes significantly and may increase unnecessary radiation and costs. NCCT markers of raised ICP should heighten vigilance for VSI. Traumatic VSI is a critical determinant of outcome, underscoring the importance of clinical awareness of VSI and targeted imaging strategies in resource-limited environments.
Pantelides et al. (Wed,) studied this question.