Use of CT in children with minor head injuries with isolated vomiting

Newsome, Helen

doi:10.1136/archdischild-2019-317949

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2020

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Cited by 2 publications

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“…Children vomit for many different reasons including intercurrent illness, air-swallowing during crying, pain and anxiety. Isolated vomiting is unlikely to be due to a significant head injury and a period of observation would be a safe option 3. It should be remembered, however, that in adults isolated vomiting is more likely to be significant and so CT should be considered in vomiting head-injured teenagers3 (who are also at less risk from ionising radiation).…”

Section: Investigation By Body Typementioning

confidence: 99%

Fifteen-minute consultation: Imaging in paediatric major trauma

Abela

Herrieven

2020

Arch Dis Child Educ Pract Ed

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With trauma being a leading cause of death for children, identifying all sustained injuries remains a priority for clinicians, and imaging is a key diagnostic tool to ensure that is achieved. However, children have a greater risk of detrimental effects of ionising radiation than adults. Clinicians therefore have to balance limiting their patients’ radiation exposure to ‘as low as reasonably achievable’ with the need for diagnostic accuracy. But what is ‘reasonable’ in major trauma can be confusing. This article aims to clarify the current guidance on which body part to scan and when in paediatric major trauma.

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Section: Investigation By Body Typementioning

confidence: 99%