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Grand Rounds: Trauma-Multidisciplinary-Update-on-Imaging-in-Pediatric


By Barbara Gaines, MD , Director, Benedum Pediatric Trauma Program

Objectives (Educational Content) :

1. Assess the relative radiation exposure between commonly ordered imaging studies in a young child. 2. Describe key points of guidelines regarding imaging of the head, cervical spine, chest and abdomen in injured children. 3. Identify other methods of assessing children for injury.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses

Identified Gap:

Update on imaging guidelines in pediatric trauma.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Dr. Gaines has indicated that she has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 125 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


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Kuppermann, N, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 2009, 374:1160-70.

Pieretti-Vanmarcke R, et al: Clinical clearance of the cervical spine in blunt trauma patients younger than 3 years: a multi-center study of the AAST.  J Trauma Acute Care Surg 2009, 67:543-49.

Pennell C, et al: A standardized protocol for cervical spine evaluation in children reduces imaging utilization: A pilot study.  J Pediatr Orthop 2020, 40:e780-e784.

Kulaylat A, et al: Reduction in radiation exposure in pediatric patients with trauma…J Pediatr Surg 2012, 47:984-990.

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Holscher C, et al: Chest computed tomography imaging for blunt pediatric trauma: not worth the radiation risk. J Surg Research 2013, 184:352-57.

Golden J, et al : Limiting chest computed tomography in the evaluation of pediatric thoracic trauma. J Trauma Acute Care Surg 2016, 81:271-277.

Holmes JF, et al: Effect of abdominal ultrasound on clinical care, outcomes, and resource use among children with blunt torso trauma: a randomized clinical trial. JAMA 2017, 317: 2290-2296.

Streck C, et al: Identifying children at very low risk for blunt intra-abdominal injury in whom CT of the abdomen can be avoided safely.  J Am College Surg 2017, 224: 449-458.

Arbra CA, et al: External validation of a five-variable clinical prediction rule for identifying children at very low risk for intra-abdominal injury after blunt abdominal trauma. J Trauma Acute Care Surg 2018, 85:71-77.