TRACT Study: Evaluation of the Value of Routine Thoraco-abdominal CT in Blunt Trauma Patients

Inclusion Criteria: * Patients with life threatening vital problems: respiratory, circulatory (pulse \> 120/min, blood pressure \< 100 mmHg, refill \> 4 sec, exterior blood loss \> 500 ml) or neurologically (Glasgow Coma Score \< 14, abnormal pupils) compromised patients. * Patients with a revised trauma score under 12 * Patients with signs of fractures from at least two long bones * Patients with clinical signs of flail chest/multiple rib fractures * Patients with a clinically evident pelvic rim fracture * Patients with signs of unstable vertebral fractures or signs of neural cord compression * Patients involved in a high-energy injury mechanism * Fall from height (\> 3 m) * As declared by prehospital emergency medical services Exclusion Criteria: * Patients suffering from a shock Class IIIB/IV * Patients who need immediate neurosurgical intervention * Pregnant patients * Patients referred from other hospitals * Patients who die at the emergency department