Randomized Trial of Screening and Brief Intervention to Reduce Injury and Substance Abuse in an urban Level I Trauma Center

2020 ◽  
Vol 208 ◽  
pp. 107792
Author(s):  
Craig A. Field ◽  
Kirk Von Sternberg ◽  
Mary M. Velasquez
2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Anne K. Misiura ◽  
Autumn D. Nanassy ◽  
Jacqueline Urbine

Trauma patients in a Level I Pediatric Trauma Center may undergo CT of the abdomen and pelvis with concurrent radiograph during initial evaluation in an attempt to diagnose injury. To determine if plain digital radiograph of the pelvis adds additional information in the initial trauma evaluation when CT of the abdomen and pelvis is also performed, trauma patients who presented to an urban Level I Pediatric Trauma Center between 1 January 2010 and 7 February 2017 in whom pelvic radiograph and CT of the abdomen and pelvis were performed within 24 hours of each other were analyzed. A total of 172 trauma patients had pelvic radiograph and CT exams performed within 24 hours of each other. There were 12 cases in which the radiograph missed pelvic fractures seen on CT and 2 cases in which the radiograph suspected a fracture that was not present on subsequent CT. Furthermore, fractures in the pelvis were missed on pelvic radiographs in 12 of 35 cases identified on CT. Sensitivity of pelvic radiograph in detecting fractures seen on CT was 65.7% with a 95% confidence interval of 47.79-80.87%. Results suggest that there is no added diagnostic information gained from a pelvic radiograph when concurrent CT is also obtained, a practice which exposes the pediatric trauma patient to unnecessary radiation.


2015 ◽  
Vol 10 (S2) ◽  
Author(s):  
Richard Saitz ◽  
Seville M Meli ◽  
Tibor P Palfai ◽  
Debbie Cheng ◽  
Daniel P Alford ◽  
...  

2008 ◽  
Vol 144 (2) ◽  
pp. 432 ◽  
Author(s):  
David J. Ciesla ◽  
Christine T. Trankiem ◽  
Jimmy A. Light ◽  
Jack A. Sava

2014 ◽  
Vol 140 ◽  
pp. e192
Author(s):  
Richard Saitz ◽  
T.P. Palfai ◽  
D. Cheng ◽  
D.P. Alford ◽  
J.A. Bernstein ◽  
...  

2015 ◽  
Vol 73 (8) ◽  
pp. 1532-1539 ◽  
Author(s):  
Olena Norris ◽  
Pushkar Mehra ◽  
Andrew Salama

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