EVALUATION FOR INTRA-ABDOMINAL INJURY IN CHILDREN FOLLOWING BLUNT TORSO TRAUMA. CAN WE REDUCE UNNECESSARY ABDOMINAL CT BY UTILIZING A CLINICAL PREDICTION MODEL?
Brent M Jewett, MD from Medical University of South Carolina studied several clinical signs in the hopes of developing a clinical prediction rule for children following blunt trauma. He found that four factors accurately predict the need for abdominal CT in patients under 16 years old.
Their recommendation: Following blunt trauma, if a child has a normal physical exam, an AST over 200, a normal CXR and a hematocrit over 30%, they do not require a CT of their abdomen and could potentially be discharged.
No comments:
Post a Comment