Featured Research

from universities, journals, and other organizations

Most kids with blunt torso trauma can skip the pelvic X-ray

Date:
August 6, 2014
Source:
American College of Emergency Physicians
Summary:
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 casts doubt on a practice that has been recommended by the Advanced Trauma Life Support Program, considered the gold standard for trauma patients.

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.

Related Articles


"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."


Story Source:

The above story is based on materials provided by American College of Emergency Physicians. Note: Materials may be edited for content and length.


Journal Reference:

  1. Maria Y. Kwok, Ken Yen, Shireen Atabaki, Kathleen Adelgais, Madelyn Garcia, Kimberly Quayle, Joshua Kooistra, Bema K. Bonsu, Kent Page, Dominic Borgialli, Nathan Kuppermann, James F. Holmes. Sensitivity of Plain Pelvis Radiography in Children With Blunt Torso Trauma. Annals of Emergency Medicine, 2014; DOI: 10.1016/j.annemergmed.2014.06.017

Cite This Page:

American College of Emergency Physicians. "Most kids with blunt torso trauma can skip the pelvic X-ray." ScienceDaily. ScienceDaily, 6 August 2014. <www.sciencedaily.com/releases/2014/08/140806134525.htm>.
American College of Emergency Physicians. (2014, August 6). Most kids with blunt torso trauma can skip the pelvic X-ray. ScienceDaily. Retrieved April 1, 2015 from www.sciencedaily.com/releases/2014/08/140806134525.htm
American College of Emergency Physicians. "Most kids with blunt torso trauma can skip the pelvic X-ray." ScienceDaily. www.sciencedaily.com/releases/2014/08/140806134525.htm (accessed April 1, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, April 1, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

7-Year-Old Girl Gets 3-D Printed 'robohand'

7-Year-Old Girl Gets 3-D Printed 'robohand'

AP (Mar. 31, 2015) — Although she never had much interest in prosthetic limbs before, Faith Lennox couldn&apos;t wait to slip on her new robohand. The 7-year-old, who lost part of her left arm when she was a baby, grabbed it as soon as it came off a 3-D printer. (March 31) Video provided by AP
Powered by NewsLook.com
Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins