Abstract

The objective of this article is to review the use of computed tomography (CT) for the purpose of injury evaluation in pediatric trauma patients. The relative risk of radiation-induced cancer mortality is discussed. Evidence-based indications for obtaining CT and optimization of CT scanner protocols are provided. CT use specific to pediatric trauma is discussed for the following anatomic regions: thorax, abdomen, head, spine, vascular, and musculoskeletal. Limiting unnecessary CT use by understanding when and how to order an appropriate scan in order to adequately diagnose and treat a specific injury is the most practical way for clinicians to help reduce patients’ risk of radiation.

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