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Imaging of Blunt Trauma to the Pediatric Torso

  • F.A. Mann
  • Joel A. Gross
  • C. Craig Blackmore
Chapter

Key Points

■ Normal CT of head, chest, abdomen, and pelvis effectively excludes need for emergent or urgent “surgical” intervention (limited to moderate evidence).

■ Emergent MR is usually reserved for patients with evolving or unexplained neurological deficits (moderate evidence).

■ The diagnostic imaging test of choice for blunt trauma to the abdomen and pelvis is CT (moderate evidence). Sonography should be reserved for subjects too hemodynamically unstable to tolerate CT.

■ The chest radiograph is an excellent screening test for mediastinal vascular injury that may require CT angiography or urgent surgery (limited to moderate evidence).

■ CT represents a significant radiation burden to young patients. All practitioners should adhere to ALARA (as low as reasonably achievable) principles in minimizing radiation dose to patients. However, when appropriately indicated, CT should be performed because short-term benefits in the acute trauma setting far outweigh long-term risk of radiation.

Keywords

Blunt Trauma Abdominal Compartment Syndrome Conventional Radiography Bowel Injury Moderate Evidence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • F.A. Mann
    • 1
  • Joel A. Gross
    • 2
  • C. Craig Blackmore
    • 3
  1. 1.Department of Medical Imaging, Seattle RadiologistsSwedish Medical Center, Emergency RadiologySeattleUSA
  2. 2.Department of Medical Imaging, Seattle RadiologistsHarborview Medical Center, University of Washington School of MedicineSeattleUSA
  3. 3.DCenter for Health Care Solutions, Department of RadiologyVirginia Mason Medical CenterSeattleUSA

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