Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement

被引:0
|
作者
Marin, Jennifer R. [1 ,2 ,3 ]
Lyons, Todd W. [4 ]
Claudius, Ilene [5 ]
Fallat, Mary E. [6 ,7 ,8 ]
Aquino, Michael
Ruttan, Timothy [9 ]
Daugherty, Reza J. [10 ,11 ,12 ]
机构
[1] Univ Pittsburgh, Dept Pediat, Sch Med, Pittsburgh, PA 15260 USA
[2] Univ Pittsburgh, Sch Med, Dept Emergency Med, Pittsburgh, PA 15260 USA
[3] Univ Pittsburgh, Sch Med, Dept Radiol, Pittsburgh, PA 15260 USA
[4] Harvard Med Sch, Boston Childrens Hosp, Div Emergency Med, Boston, MA USA
[5] Harbor UCLA Med Ctr, Dept Emergency Med, Torrance, CA USA
[6] Univ Louisville, Norton Childrens Hosp, Sch Med, Hiram C Polk Jr Dept Surg, Louisville, KY USA
[7] Case Western Univ, Cleveland Clin Childrens Hosp, Cleveland Clin Imaging Inst, Cleveland Clin Lerner Coll Med, Cleveland, OH USA
[8] Case Western Univ, Cleveland Clin Childrens Hosp, Sect Pediat Imaging, Cleveland Clin Lerner Coll Med, Cleveland, OH USA
[9] Univ Texas Austin, Dell Med Sch, Dept Pediat, Austin, TX USA
[10] US Acute Care Solut, Canton, OH USA
[11] Univ Virginia, Dept Radiol, UVA Hlth UVA Childrens, Sch Med, Charlottesville, VA USA
[12] Univ Virginia, Sch Med, Dept Pediat, UVA Hlth UVA Childrens, Charlottesville, VA USA
关键词
LENGTH-OF-STAY; COMPUTED-TOMOGRAPHY; INCIDENTAL FINDINGS; RADIATION-EXPOSURE; CT SCANS; UNITED-STATES; CHILDREN; HEALTH; DIAGNOSIS; IMPACT;
D O I
10.1016/j.annemergmed.2024.03.023
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Advanced imaging, including ultrasonography, computed tomography, and magnetic resonance imaging (MRI), is an integral component to the evaluation and management of ill and injured children in the emergency department. As with any test or intervention, the benefits fi ts and potential impacts on management must be weighed against the risks to ensure that high-value care is being delivered. There are important considerations specific fi c to the pediatric patient related to the ordering and interpretation of advanced imaging. This policy statement provides guidelines for institutions and those who care for children to optimize the use of advanced imaging in the emergency department setting and was coauthored by experts in pediatric and general emergency medicine, pediatric radiology, and pediatric surgery. The intent is to guide decision-making where children may access care. [Ann Emerg Med. 2024;84:e13-e23.]
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页码:e13 / e23
页数:11
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