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:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief ... a minimum wage raise to $12 an hour by 2020 and then adjusting it yearly ... lost value of the minimum wage, assure the wage floor does not erode again, and ...
(Date:6/24/2016)... Georgia (PRWEB) , ... June 24, 2016 , ... ... awards today at the Clinical Decision Making in Emergency Medicine conference in Ponte ... have authored journal articles published in Emergency Medicine Practice and Pediatric ...
(Date:6/24/2016)... ... June 24, 2016 , ... Puradigm® ... Group (TGIG), has initiated cultivation and processing operations at its production facility, and ... Nevada. , Puradigm is the manufacturer of a complete system of proactive air ...
(Date:6/24/2016)... ... ... recruitment firm Slone Partners is pleased to announce the placement of Suzanne ... of North American Capital Sales at HTG Molecular . , In ... commercialization of the HTG EdgeSeq system and associated reagents in North America. , Headquartered ...
(Date:6/24/2016)... ... 24, 2016 , ... Today, MTI-GlobalStem, a provider of optimized ... difficult to transfect cells, announces its launch of the PluriQ™ G9™ Gene Editing ... is a complete system for culturing and transfecting human pluripotent stem cells ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 23, 2016  Guerbet announced today that it has ... Horizon Award . One of 12 suppliers ... for its support of Premier members through exceptional local ... and commitment to lower costs. ... of our outstanding customer service from Premier," says ...
(Date:6/23/2016)... -- The Biotechnology industry might still be ... opportunities to investors. Stock-Callers.com assesses the recent performances of ... XON ), Vertex Pharmaceuticals Inc. (NASDAQ: ... ), and Regeneron Pharmaceuticals Inc. (NASDAQ: REGN ... complimentary trade alerts at: http://stock-callers.com/registration ...
(Date:6/23/2016)... Research and Markets has announced the addition ... New Global Agenda " report to their offering. ... Europe - the 2016 edition is a ... identifies the driving factors coming into play which will influence ... and in the future. It provides a wealth of knowledge ...
Breaking Medicine Technology: