Joseph J. Junewick, MD PRELUDE The author was presenting a sonogram (Fig. 1) at a multidisciplinary conference and he paused for questions. The pediatric surgeon said, ‘‘I understand what I am seeing.’’ The author was puzzled by the lack of sarcasm but the surgeon was quick to elaborate, ‘‘I see the anatomy; I know what […]
William T.O’Brien, Sr., DO; Marguerite M.Caré, MD; James L.Leach, MD Pediatric head trauma is an important cause of morbidity and mortality in children and may be seen in the setting of accidental or abusive injuries. Although many of the patterns of head injury are similar to adults, the imaging manifestations of head injury in children […]
CME Information: Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.
ABSTRACT Background: Data suggest that clinicians, when evaluating pediatric patients with blunt head trauma, may be overordering head computed tomography (CT). Prior decision instruments (DIs) aimed at aiding clinicians in safely forgoing CTs may be paradoxically increasing CT utilization. This study evaluated a novel DI that aims for high sensitivity while also improving specificity over […]