caa a22 4500 606171290 CHVBK 20210128100722.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10140-015-1332-7 doi (NATIONALLICENCE)springer-10.1007/s10140-015-1332-7 Pediatric trauma care with computed tomography—criteria for CT scanning [Elektronische Daten] [Markus Muhm, Tim Danko, Thomas Henzler, Thomas Luiz, Hartmut Winkler, Thomas Ruffing] Trauma centers, trauma management concepts, as well as integration of whole-body computed tomography (CT) reduced mortality significantly. The accuracy of a trauma care algorithm with emergency CT in children was evaluated. Data of 71 children with emergency CT were recorded retrospectively. In addition to epidemiological data admission date, kind of CT scan, mechanism of injury, missed diagnoses, injury severity score (ISS), admission to and time on intensive care unit (ICU), and time of hospitalization were observed. The algorithm for CT scanning was based on mechanism of injury, pattern of injury, and altered vital signs. Sixty-nine percent of the children reached the ER during on-call service hours. A percentage of 32.4 received a whole-body scan and 67.6% a cranial scan. The mean ER ISS was 9.9 points (1-57). Children have different trauma mechanisms compared to adults. A percentage of 33.8 of the children had relevant trauma related findings in the CT scan. In 2 children, (2.8%) 3 diagnoses (2.2%) were initially missed. After reevaluation of the CT data, all diagnoses were identified. Thus, the accuracy of our algorithm in children was 100%. In children, our algorithm detected all injuries, but only one third of the children had relevant trauma related findings in the CT scan. In order to reduce radiation exposure but preserve the advantages of CT, a new algorithm was developed with more flexibility taking the child's age and mental status more into account as well as clinical findings. The mechanism of injury itself is not anymore an indication for CT scanning. American Society of Emergency Radiology, 2015 Pediatric trauma nationallicence Computed tomography nationallicence Criteria for CT scanning nationallicence Mechanism of injury nationallicence Radiation dose reduction nationallicence Muhm Markus Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut Danko Tim Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut Henzler Thomas Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany aut Luiz Thomas DENIT - German Institute for Emergency Medicine and Information Technology, Fraunhofer Institute for Experimental Software Engineering (IESE), Kaiserslautern, Germany aut Winkler Hartmut Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut Ruffing Thomas Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut Emergency Radiology Springer Berlin Heidelberg 22/6(2015-12-01), 613-621 1070-3004 22:6<613 2015 22 10140 https://doi.org/10.1007/s10140-015-1332-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-015-1332-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Muhm Markus Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut NATIONALLICENCE 700 1- Danko Tim Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut NATIONALLICENCE 700 1- Henzler Thomas Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Luiz Thomas DENIT - German Institute for Emergency Medicine and Information Technology, Fraunhofer Institute for Experimental Software Engineering (IESE), Kaiserslautern, Germany aut NATIONALLICENCE 700 1- Winkler Hartmut Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut NATIONALLICENCE 700 1- Ruffing Thomas Department of Trauma and Orthopedic Surgery; Westpfalz-Klinikum Kaiserslautern, Medical Faculty Mannheim, University of Heidelberg and University of Mainz, Hellmut-Hartert-Str. 1, D-67655, Kaiserslautern, Germany aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/6(2015-12-01), 613-621 1070-3004 22:6<613 2015 22 10140