Navigation Links
Most kids with blunt torso trauma can skip the pelvic X-ray
Date:8/6/2014

WASHINGTON Pelvic x-rays ordered as a matter of course for children who have suffered blunt force trauma do not accurately identify all cases of pelvic fractures or dislocations and are usually unnecessary for patients for whom abdominal/pelvic CT scanning is otherwise planned. A study published online in Annals of Emergency Medicine last week casts doubt on a practice that has been recommended by the Advanced Trauma Life Support Program (ATLS), considered the gold standard for trauma patients "(Sensitivity of Plain Pelvis Radiography in Children with Blunt Torso Trauma).

"Abdominal/pelvic CT is a superior diagnostic test compared to plain anteroposterior pelvic x-rays for diagnosing children with pelvic fractures or dislocations," said lead study author Maria Kwok, MD, MPH, of Columbia University Medical Center in New York, N.Y. "Because of concerns about lifetime exposure to radiation in children, appropriate use of radiography is important. We just could not find enough accuracy or utility to justify the pelvic x-ray for most of these children."

Plain pelvic x-rays had a sensitivity of only 78 percent for identifying patients with pelvic fractures or dislocations. Of the patients not correctly identified as having pelvic fractures or dislocations, 98 percent were correctly diagnosed by abdominal/pelvic CT scans.

Plain pelvic x-rays are useful only for hemodynamically unstable patients and for hemodynamically stable patients who the physician believes may have pelvic fractures or dislocations but who are not otherwise undergoing abdominal/pelvic CT scanning.

The highest risk for pelvic fractures or dislocations included pedestrians or bicyclists struck by moving vehicles and injuries involving motor vehicle collisions. Low-level falls or bicycle accidents were rarely diagnosed with pelvic fractures or dislocations. None of the 281 patients in the study who fell down stairs were diagnosed with pelvic fractures or dislocations.

"CT scanning should not be used as a primary screening tool if no clinical evidence of pelvic fracture or dislocation exists," said Dr. Kwok. "A physical examination and clinical judgment are still the first line in determining which patients need advanced imaging and which can safely skip it."


'/>"/>

Contact: julie lloyd
jlloyd@acep.org
202-370-9292
American College of Emergency Physicians
Source:Eurekalert

Related medicine news :

1. Blunting rice disease
2. Non-Lethal Weapons Market (Blunt Impact, Disperse, Direct Energy) Worth $1,146.2 Million by 2018 - New Report by MarketsandMarkets
3. Long-term cannabis use may blunt the brains motivation system
4. Is Blunt Honesty The Best Policy? Queendom.com’s Latest Research Reveals That Tact Still Rules
5. Exercise May Blunt Heavy Drinkings Effect on Brain
6. Stimulating the brain blunts cigarette craving
7. Meth in Pregnancy May Blunt Childs Reaction to Stress: Study
8. Patients own immune cells may blunt viral therapy for brain cancer
9. Orthopedic Trauma Fixation Devices Market: Global Forecast, Share, Size, Growth and Industry Analysis 2014 - 2020
10. Vacuum treatment may limit damage after traumatic brain injury
11. What are the risks of post-traumatic stress disorder after an accident?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... February 05, 2016 , ... ... stage for new clinical and scientific initiatives have all marked the last 12 ... appointed President and CEO of the nation’s oldest cancer center, Candace S. Johnson, ...
(Date:2/5/2016)... Rosa, CA (PRWEB) , ... February 05, 2016 ... ... pleased to announce the addition of micro-needling services in their Napa Valley office. ... The founders of Plastic Surgery Associates, Dr. Canales and Dr. Furnas, are part ...
(Date:2/5/2016)... Toronto, Ontario (PRWEB) , ... February 05, 2016 , ... ... the Scarborough General Hospital Burn Unit, plastic and cosmetic surgeon Dr. Wayne Carman transitioned ... the Scarborough Hospital. He successfully completed his first three-year term as chief and began ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... ... independent PROSHRED franchises from across the country gathered at the La Valencia Hotel ... top performers. PROSHRED Chicago was named the year’s most outstanding franchise, walking ...
(Date:2/5/2016)... ... , ... Give To Cure today announced that it is working ... To Cure’s campaign that is crowdfunding clinical trials to help find cures faster for ... a smart device. In 2015 alone, Venmo processed $7.5 billion in transactions among users. ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)...  Aethlon Medical, Inc. (Nasdaq: AEMD ), ... treat life-threatening diseases, today announced results for the ... 2015. --> --> ... our last quarterly call, we strategically advanced pre-clinical ... to establish the Aethlon Hemopurifier® as a leading ...
(Date:2/4/2016)... , Feb. 4, 2016  AMRI (NASDAQ:  AMRI) today announced ... Pfizer Inc. and President of Pfizer Global Supply, has been ... February 4, 2016. In addition, the Company announced that Mr. ... audit committee since 2010, has retired from the AMRI Board ... to his other business ventures.  William S. ...
(Date:2/4/2016)... -- --> --> ... Automated External Defibrillator (AED) Market by Product (Semi-Automated External ... Hospitals, Homecare & Nursing Homes) - Forecast to 2019", ... and segments the concerned market with an analysis and ... grow to about $367.0 million by 2019, at a ...
Breaking Medicine Technology: