Navigation Links
Observation in the ER can reduce CT scans in kids
Date:8/6/2013

WASHINGTON The longer a child with minor blunt head trauma is observed in the emergency department, the less likely the child is to require computed tomography (CT) scan, according to the results of a study published online Friday in Annals of Emergency Medicine ("Impact of the Duration of Emergency Department Observation on Computed Tomography Use in Children with Minor Blunt Head Trauma").

"Every hour of observation time in the emergency department was associated with a decrease in CT rates for children whether at low, intermediate or high risk of traumatic brain injury," said lead study author Lise E. Nigrovic, MD, MPH, of Boston Children's Hospital in Boston, Mass. "Furthermore, observation prior to CT decision-making for children with minor blunt head trauma was associated with reduced CT use without an observed delay in the diagnosis of significant traumatic brain injury."

Emergency physicians observed approximately half (49 percent) of the 1,381 enrolled children with minor blunt head trauma prior to deciding whether to obtain CT scans. The symptoms improved for most children during the period of observation. Every hour of observation reduced CTs by approximately 70 percent on average.

Every year, more than half a million children come to the emergency department for evaluation of blunt head trauma, but very few will have significant traumatic brain injury.

"As emergency physicians, we must balance the possibility of missing a clinically significant traumatic brain injury with the future risk of malignancy associated with ionizing radiation exposure," said Dr. Nigrovic. "Observation prior to CT decision-making has the potential to further reduce CT rates without missing children with significant injuries, further improving the emergency care of children with minor blunt head injury."


'/>"/>

Contact: Julie Lloyd
jlloyd@acep.org
202-728-0610
American College of Emergency Physicians
Source:Eurekalert

Page: 1

Related medicine news :

1. Under pressure from Medicare, hospitals hold more seniors for observation
2. Observation is safe, cost-saving in low-risk prostate cancer
3. Huntingtons Disease Linked to Reduced Cancer Risk in Study
4. BMC study shows diverting passengers to elevators could help reduce falls at Logan Airport
5. Decision guide reduced uncertainty over breast cancer prevention, study finds
6. Scoliosis Treatment Might Reduce Need for Surgeries
7. Exercise helps smokers to quit smoking, to remain smoke-free and to reduce the risk of death
8. Additional blood pressure screening may reduce incidence of CVD events and death by up to 3 percent
9. Groundbreaking Nigeria summit results in major commitment to reduce child deaths
10. Soy-based S-equol supplement reduces hot flash frequency, muscle & joint pain in US women
11. Use of dedicated pediatric imaging departments for pediatric CT reduces radiation dose
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/30/2015)... ... June 30, 2015 , ... The LIV Fertility Center in ... and deciding the right age to pursue egg freezing. Statistics show that 20 percent ... 35 — a 150 percent increase since the 1970s. , Sadly, for women who ...
(Date:6/30/2015)... ... June 30, 2015 , ... Today, Grand Terrace Health ... Health Care Center.” Each year, Medicare ranks care centers around the country in ... for their needs. Grand Terrace prides itself on quality in each of Medicare’s ...
(Date:6/30/2015)... ... June 30, 2015 , ... According to a recent report by the ... heroin-related deaths more than tripled in the same period—leading a majority of law enforcement ... Center , a leading Florida-based drug treatment facility, asserts that these heroin statistics point ...
(Date:6/30/2015)... ... June 30, 2015 , ... ... today that they have been awarded the exclusive billing agreements with Jackson Radiology ... of billing services encompassing their proprietary suite of billing process software functionality called ...
(Date:6/30/2015)... ... June 30, 2015 , ... On June 26, 2015, Harper’s Bazaar Magazine ... triggers that most people would not expect to cause acne flare-ups. The ... causes of acne are clogged pores and bacteria and each of the ...
Breaking Medicine News(10 mins):Health News:LIV Fertility Center Educating Women on the Critical Timing of Egg Freezing 2Health News:LIV Fertility Center Educating Women on the Critical Timing of Egg Freezing 3Health News:LIV Fertility Center Educating Women on the Critical Timing of Egg Freezing 4Health News:LIV Fertility Center Educating Women on the Critical Timing of Egg Freezing 5Health News:Grand Terrace Health Care Center Announces Five-Star Rating in YouTube Video 2Health News:Novus Medical Detox Center Urges Education and Action as New DEA Report Reveals Rising Heroin Use and Deaths 2Health News:Novus Medical Detox Center Urges Education and Action as New DEA Report Reveals Rising Heroin Use and Deaths 3Health News:Novus Medical Detox Center Urges Education and Action as New DEA Report Reveals Rising Heroin Use and Deaths 4Health News:ADVOCATE Wins Billing Agreements with Jackson Radiology Associates 2Health News:A List of 5 Surprising Acne Triggers and the Latest Acne Treatment Options 2
... are significantly more likely to experience difficulties during childbirth //and ... of the gruesome practice, a new United Nations study has ... evidence of the harmful effects for women and children, calls ... women worldwide., ,The serious complications during childbirth it cites ...
... commitment' to the global fight against HIV/AIDS, India ... // and discrimination against victims and expand its ... girls. ,'The soundness of India's strategy ... in Tamil Nadu which had high incidence of ...
... a programme organized by ‘Elements Regazzo’ in association with ... Chennai at the Taj Coromandel hotel on June 9th ... to spread HIV/AIDS //awareness amongst the youth. ... Shamita Shetty, Vikram, Ganesh Hegde, Ran Vijay along with ...
... Bombay High Court has provided succour to a couple by ... their inability to produce a marriage certificate as required by ... yesterday, directed city-based Bombay Hospital to relax its rules and ... wife Sushila (56). ,Chandrabhan could not donate an ...
... Naughty boys can dry up your coffers and bring it to ... say that rearing an ill-behaved child// turns out to be an ... It is estimated that a raucous child can inflict damages to ... of an additional ?6,000 annually on an average. ,But ...
... passed into the footnotes of history and all the usual noises ... risk factor for lung cancer and a variety of other diseases//. ... that the health authorities are trying to convey. ,Why ... lies in the fact that smoking is addictive and it needs ...
Cached Medicine News:
(Date:6/30/2015)... , June 30, 2015 Pulse ... issued a survey to Rosacea sufferers as part of their ... treatments Rosacea sufferers found effective for their Rosacea. The survey ... and comprised 47% men and 53% women. The ... survey participants did not consider or attempt to visit their ...
(Date:6/30/2015)... First Choice Wellness Care recently upgraded their ... is the only clinic in the greater ... The practice has recently expanded their services and added ... their focus in the procedure. They upgraded to the ... clearance, and superior service. "We,ve been providing ...
(Date:6/30/2015)... ALISO VIEJO, Calif. , June 30, 2015 ... from the PRISM II study showing that treatment ... statistically significant reduction in symptoms of pseudobulbar affect ... or stroke. PBA is a distressing condition characterized ... crying resulting from certain neurologic diseases or brain ...
Breaking Medicine Technology:84% of Rosacea Sufferers Say NHS Treatments Were "Ineffective" New Survey Reveals 284% of Rosacea Sufferers Say NHS Treatments Were "Ineffective" New Survey Reveals 3First Choice Wellness Care Becomes Tallahassee Leader In Tattoo Removal With Astanza Duality 2First Choice Wellness Care Becomes Tallahassee Leader In Tattoo Removal With Astanza Duality 3Avanir Pharmaceuticals Announces Positive Top-line Results from Stroke and TBI Cohorts of PRISM II Study 2Avanir Pharmaceuticals Announces Positive Top-line Results from Stroke and TBI Cohorts of PRISM II Study 3Avanir Pharmaceuticals Announces Positive Top-line Results from Stroke and TBI Cohorts of PRISM II Study 4Avanir Pharmaceuticals Announces Positive Top-line Results from Stroke and TBI Cohorts of PRISM II Study 5Avanir Pharmaceuticals Announces Positive Top-line Results from Stroke and TBI Cohorts of PRISM II Study 6Avanir Pharmaceuticals Announces Positive Top-line Results from Stroke and TBI Cohorts of PRISM II Study 7
... Designed to inform decision making, ... patient data on demand. Clinicians ... to lab results, medication profiles, ... profiles, and clinical notes such ...
... Thermo Labsystems was designed specifically to combine ... such as the new fast dial system ... help to define this as a new ... interchangeable handle plate offers a custom fit ...
Research Series 2100 Adjustable-volume Pipette, 0.1-2.5 l, single-channel with adjustable-volume setting...
Pipetman P is a fully adjustable, air-displacement pipette with the selected volume shown on a digital indicator (volumeter). Eight models cover the full range of volumes from 0.2 L to 10 mL....
Medicine Products: