Fifteen-minute consultation: Imaging in paediatric major trauma

Archives of Disease in Childhood. Education and Practice Edition
Nikki Abela, Elizabeth Herrieven

Abstract

With trauma being a leading cause of death for children, identifying all sustained injuries remains a priority for clinicians, and imaging is a key diagnostic tool to ensure that is achieved. However, children have a greater risk of detrimental effects of ionising radiation than adults. Clinicians therefore have to balance limiting their patients' radiation exposure to 'as low as reasonably achievable' with the need for diagnostic accuracy. But what is 'reasonable' in major trauma can be confusing. This article aims to clarify the current guidance on which body part to scan and when in paediatric major trauma.

References

Oct 26, 2001·JAMA : the Journal of the American Medical Association·I G StiellJ Worthington
Feb 5, 2013·Annals of Emergency Medicine·James F HolmesUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Jun 8, 2017·The Journal of Trauma and Acute Care Surgery·Bennett W CalderChristian J Streck
Jun 14, 2017·JAMA : the Journal of the American Medical Association·James F HolmesNathan Kuppermann
Dec 7, 2018·The American Journal of Emergency Medicine·Elise SpringerAdam A Vukovic
Sep 2, 2019·Archives of Disease in Childhood·Helen Newsome

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