Optimizing imaging in the pediatric trauma patient, part 2: thoracic and abdominal trauma.

Pediatr Emerg Med Pract

Fellowship Director, Pediatric Emergency Medicine; Assistant Professor, Department of Emergency Medicine, State University of New York Downstate Health Sciences University/NYC Health+Hospitals/Kings County Hospital Center, Brooklyn, NY.

Published: September 2022

Imaging is a critical tool for the diagnosis and management of thoracic and abdominal injuries in pediatric patients. The location and mechanism of injury, the physical examination, and other clinical findings should guide emergency clinicians in the selection of the most appropriate imaging modality for the pediatric trauma patient. This supplement reviews the evidence for imaging decisions in the setting of pleural space, lung parenchyma, chest wall, cardiac, diaphragm, solid-organ, and hollow-viscus injuries in pediatric patients. Examples demonstrating imaging modalities, interpretations, and specific findings are provided. Considerations for imaging in suspected nonaccidental abdominal trauma are also discussed.

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