The Journal of pediatrics
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The Journal of pediatrics · Dec 2014
Multicenter StudyAccuracy of the abdominal examination for identifying children with blunt intra-abdominal injuries.
To determine the accuracy of complaints of abdominal pain and findings of abdominal tenderness for identifying children with intra-abdominal injury (IAI) stratified by Glasgow Coma Scale (GCS) score. ⋯ The sensitivity of abdominal findings for IAI decreases as GCS score decreases. Although abdominal computed tomography is not mandatory, the risk of IAI is sufficiently high that diagnostic evaluation is warranted in children with isolated abdominal pain or tenderness.
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The Journal of pediatrics · Dec 2014
Multicenter Study Observational StudyEmergency department practice variation in computed tomography use for children with minor blunt head trauma.
To describe factors associated with computed tomography (CT) use for children with minor blunt head trauma that are evaluated in emergency departments. ⋯ Substantial variation exists in the use of CT for children with minor blunt head trauma not explained by patient severity or rates of positive CT scans or clinically important traumatic brain injuries.