Pediatric Blunt Abdominal Trauma Evaluation and Management Pathways

Center for Disease Control and Prevention: Web-based Injury Statistics Query and Reporting System (WISQARS). https://www.cdc.gov/ncipc/wisqars (2020). Accessed Nov 1 2022.

Cooper A, Barlow B, DiScala C, String D. Mortality and truncal injury: the pediatric perspective. J Pediatr Surg. 1994;29(1):33–8. https://doi.org/10.1016/0022-3468(94)90518-5.

Article  CAS  PubMed  Google Scholar 

Naik-Mathuria B. Liver, spleen, and pancreas injury in children with blunt abdominal trauma. In: Torrey SB, Kim WG, Wiley I, James F., editors. UpToDate. 2022. https://www.uptodate.com/contents/liver-spleen-and-pancreas-injury-in-children-with-blunt-abdominal-trauma?topicRef=6553&source=see_link#. Accessed 1 Nov 2022.

Crosse M: Pediatric trauma centers: availability, outcomes, and federal support related to pediatric trauma care https://www.gao.gov/products/gao-17-334 (2017). Accessed Nov 1 2022.

Davies DA, Pearl RH, Ein SH, Langer JC, Wales PW. Management of blunt splenic injury in children: evolution of the nonoperative approach. J Pediatr Surg. 2009;44(5):1005–8. https://doi.org/10.1016/j.jpedsurg.2009.01.024.

Article  PubMed  Google Scholar 

Lee LK, Farrell C. Trauma management: approach to the unstable child. In: Bachur RG, Wiley II JF, editors. UpToDate. 2022. https://www.uptodate.com/contents/trauma-management-approach-to-the-unstable-child. Accessed 1 Nov 2022.

•• American College of Surgeons. Advanced trauma life support: student course manual. 10th ed. American College of Surgeons; 2018. (Current national trauma guidelines for initial patient management.)

Acker SN, Ross JT, Partrick DA, Tong S, Bensard DD. Pediatric specific shock index accurately identifies severely injured children. J Pediatr Surg. 2015;50(2):331–4. https://doi.org/10.1016/j.jpedsurg.2014.08.009.

Article  PubMed  Google Scholar 

Linnaus ME, Notrica DM, Langlais CS, St Peter SD, Leys CM, Ostlie DJ, et al. Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: an ATOMAC+ study. J Pediatr Surg. 2017;52(2):340–4. https://doi.org/10.1016/j.jpedsurg.2016.09.060.

Article  PubMed  Google Scholar 

•• Phillips R, Meier M, Shahi N, Acker S, Reppucci M, Shirek G, et al. Elevated pediatric age-adjusted shock-index (SIPA) in blunt solid organ injuries. J Pediatr Surg. 2021;56(2):401–4. https://doi.org/10.1016/j.jpedsurg.2020.10.022. (Discusses how SIPA represents hemodynamic instability and accurately identified children with blunt liver/spleen injuries who may need blood products or operative intervention.)

Article  PubMed  Google Scholar 

Stevens J, Pickett K, Moore H, Reppucci ML, Phillips R, Moulton S, et al. Thrombelastography and transfusion patterns in severely injured pediatric trauma patients with blunt solid organ injuries. J Trauma Acute Care Surg. 2022;92(1):152–8. https://doi.org/10.1097/ta.0000000000003392.

Article  CAS  PubMed  Google Scholar 

Phillips R, Moore H, Bensard D, Shahi N, Shirek G, Reppucci ML, et al. It is time for TEG in pediatric trauma: unveiling meaningful alterations in children who undergo massive transfusion. Pediatr Surg Int. 2021;37(11):1613–20. https://doi.org/10.1007/s00383-021-04944-9.

Article  PubMed  PubMed Central  Google Scholar 

Anand T, Obaid O, Nelson A, Chehab M, Ditillo M, Hammad A, et al. Whole blood hemostatic resuscitation in pediatric trauma: a nationwide propensity-matched analysis. J Trauma Acute Care Surg. 2021;91(4):573–8. https://doi.org/10.1097/ta.0000000000003306.

Article  PubMed  Google Scholar 

Russell RT, Bembea MM, Borgman MA, Burd RS, Gaines BA, Jafri M, et al. Pediatric traumatic hemorrhagic shock consensus conference research priorities. J Trauma Acute Care Surg. 2022. https://doi.org/10.1097/ta.0000000000003802.

Article  PubMed  Google Scholar 

Kwok MY, Yen K, Atabaki S, Adelgais K, Garcia M, Quayle K, et al. Sensitivity of plain pelvis radiography in children with blunt torso trauma. Ann Emerg Med. 2015;65(1):63-71.e1. https://doi.org/10.1016/j.annemergmed.2014.06.017.

Article  PubMed  Google Scholar 

Kwan C, Weerdenburg K, Pusic M, Constantine E, Chen A, Rempell R, et al. Learning pediatric point-of-care ultrasound: how many cases does mastery of image interpretation take? Pediatr Emerg Care. 2022;38(2):e849–55. https://doi.org/10.1097/pec.0000000000002396.

Article  PubMed  Google Scholar 

Baer Ellington A, Kuhn W, Lyon M. A potential pitfall of using focused assessment with sonography for trauma in pediatric trauma. J Ultrasound Med. 2019;38(6):1637–42. https://doi.org/10.1002/jum.14837.

Article  PubMed  Google Scholar 

Scaife ER, Rollins MD, Barnhart DC, Downey EC, Black RE, Meyers RL, et al. The role of focused abdominal sonography for trauma (FAST) in pediatric trauma evaluation. J Pediatr Surg. 2013;48(6):1377–83. https://doi.org/10.1016/j.jpedsurg.2013.03.038.

Article  PubMed  Google Scholar 

Liang T, Roseman E, Gao M, Sinert R. The utility of the focused assessment with sonography in trauma examination in pediatric blunt abdominal trauma: a systematic review and meta-analysis. Pediatr Emerg Care. 2021;37(2):108–18. https://doi.org/10.1097/pec.0000000000001755.

Article  PubMed  Google Scholar 

• McGaha P 2nd, Motghare P, Sarwar Z, Garcia NM, Lawson KA, Bhatia A, et al. Negative focused abdominal sonography for trauma examination predicts successful nonoperative management in pediatric solid organ injury: a prospective Arizona-Texas-Oklahoma-Memphis-Arkansas + Consortium study. J Trauma Acute Care Surg. 2019;86(1):86–91. https://doi.org/10.1097/TA.0000000000002074. (A study that found FAST is useful in pediatric solid organ injury patients.)

Article  PubMed  Google Scholar 

Calder BW, Vogel AM, Zhang J, Mauldin PD, Huang EY, Savoie KB, et al. Focused assessment with sonography for trauma in children after blunt abdominal trauma: a multi-institutional analysis. J Trauma Acute Care Surg. 2017;83(2):218–24. https://doi.org/10.1097/ta.0000000000001546.

Article  PubMed  Google Scholar 

Stengel D, Leisterer J, Ferrada P, Ekkernkamp A, Mutze S, Hoenning A. Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma. Cochrane Database Syst Rev. 2018;12(12):Cd012669. https://doi.org/10.1002/14651858.CD012669.pub2.

Article  PubMed  Google Scholar 

Holmes JF, Kelley KM, Wootton-Gorges SL, Utter GH, Abramson LP, Rose JS, et al. Effect of abdominal ultrasound on clinical care, outcomes, and resource use among children with blunt torso trauma: a randomized clinical trial. JAMA. 2017;317(22):2290–6. https://doi.org/10.1001/jama.2017.6322.

Article  PubMed  PubMed Central  Google Scholar 

•• American College of Surgeons Trauma Quality Improvement Program. Best practices guidelines in imaging. American College of Surgeons; 2018. https://www.facs.org/media/oxdjw5zj/imaging_guidelines.pdf.  Accessed 1 Nov 2022. (A comprehensive guide for considerations regarding imaging in both pediatric and adult traumna patients.)

Kornblith AE, Graf J, Addo N, Newton C, Callcut R, Grupp-Phelan J, et al. The utility of focused assessment with sonography for trauma enhanced physical examination in children with blunt torso trauma. Acad Emerg Med. 2020;27(9):866–75. https://doi.org/10.1111/acem.13959.

Article  PubMed  PubMed Central  Google Scholar 

Kornblith AE, Addo N, Plasencia M, Shaahinfar A, Lin-Martore M, Sabbineni N, et al. Development of a consensus-based definition of focused assessment with sonography for trauma in children. JAMA Netw Open. 2022;5(3):e222922. https://doi.org/10.1001/jamanetworkopen.2022.2922.

Article  PubMed  PubMed Central  Google Scholar 

Armstrong LB, Mooney DP, Paltiel H, Barnewolt C, Dionigi B, Arbuthnot M, et al. Contrast enhanced ultrasound for the evaluation of blunt pediatric abdominal trauma. J Pediatr Surg. 2018;53(3):548–52. https://doi.org/10.1016/j.jpedsurg.2017.03.042.

Article  PubMed  Google Scholar 

Mooney D: Contrast Ultrasound for Pediatric Trauma - Comparative Evaluation (CAPTURE Study). https://www.clinicaltrials.gov/ct2/show/NCT04718441 (2021). Accessed October 1 2022.

Caputo ND, Stahmer C, Lim G, Shah K. Whole-body computed tomographic scanning leads to better survival as opposed to selective scanning in trauma patients: a systematic review and meta-analysis. J Trauma Acute Care Surg. 2014;77(4):534–9. https://doi.org/10.1097/ta.0000000000000414.

Article  PubMed  Google Scholar 

Harntaweesup S, Krutsri C, Sumritpradit P, Singhatas P, Thampongsa T, Jenjitranant P, et al. Usefulness and outcome of whole-body computed tomography (pan-scan) in trauma patients: a prospective study. Ann Med Surg (Lond). 2022;76:103506. https://doi.org/10.1016/j.amsu.2022.103506.

Article  PubMed  Google Scholar 

Roberts GJ, Jacobson LE, Amaral MM, Jensen CD, Cooke L, Schultz JF, et al. Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients. World J Emerg Surg. 2020;15:5. https://doi.org/10.1186/s13017-019-0287-5.

Article  PubMed  PubMed Central  Google Scholar 

Hong ZJ, Chen CJ, Yu JC, Chan DC, Chou YC, Liang CM, et al. The evolution of computed tomography from organ-selective to whole-body scanning in managing unconscious patients with multiple trauma: a retrospective cohort study. Medicine (Baltimore). 2016;95(37):e4653. https://doi.org/10.1097/md.0000000000004653.

Article  PubMed  Google Scholar 

Long B, April MD, Summers S, Koyfman A. Whole body CT versus selective radiological imaging strategy in trauma: an evidence-based clinical review. Am J Emerg Med. 2017;35(9):1356–62. https://doi.org/10.1016/j.ajem.2017.03.048.

Article  PubMed  Google Scholar 

Murphy SP, Hawthorne N, Haase D, Chiku C, Wen J, Rodriguez RM. Low yield of clinically significant injury with head-to-pelvis computed tomography in blunt trauma evaluation. J Emerg Med. 2017;53(6):865–70. https://doi.org/10.1016/j.jemermed.2017.08.036.

Article  PubMed  Google Scholar 

Holscher CM, Faulk LW, Moore EE, Cothren Burlew C, Moore HB, Stewart CL, et al. Chest computed tomography imaging for blunt pediatric trauma: not worth the radiation risk. J Surg Res. 2013;184(1):352–7. https://doi.org/10.1016/j.jss.2013.04.044.

Article  PubMed  Google Scholar 

Meltzer JA, Stone ME Jr, Reddy SH, Silver EJ. Association of whole-body computed tomography with mortality risk in children with blunt trauma. JAMA Pediatr. 2018;172(6):542–9. https://doi.org/10.1001/jamapediatrics.2018.0109.

Article  PubMed  PubMed Central  Google Scholar 

Sathya C, Alali AS, Wales PW, Scales DC, Karanicolas PJ, Burd RS, et al. Mortality among injured children treated at different trauma center types. JAMA Surg. 2015;150(9):874–81. https://doi.org/10.1001/jamasurg.2015.1121.

Article  PubMed  Google Scholar 

Myers SR, Branas CC, French B, Nance ML, Carr BG. A national analysis of pediatric trauma care utilization and outcomes in the United States. Pediatr Emerg Care. 2019;35(1):1–7. https://doi.org/10.1097/pec.0000000000000902.

Article  PubMed  PubMed Central  Google Scholar 

Holmes JF, Lillis K, Monroe D, Borgialli D, Kerrey BT, Mahajan P, et al. Identifying children at very low risk of clinically important blunt abdominal injuries. Ann Emerg Med. 2013;62(2):107-16.e2. https://doi.org/10.1016/j.annemergmed.2012.11.009.

Article  PubMed  Google Scholar 

Adelgais KM, Kuppermann N, Kooistra J, Garcia M, Monroe DJ, Mahajan P, et al. Accuracy of the abdominal examination for identifying children with blunt intra-abdominal injuries. J Pediatr. 2014;165(6):1230-5.e5. https://doi.org/10.1016/j.jpeds.2014.08.014.

Article  PubMed  Google Scholar 

Borgialli DA, Ellison AM, Ehrlich P, Bonsu B, Menaker J, Wisner DH, et al. Association between the seat belt sign and intra-abdominal injuries in children with blunt torso trauma in motor vehicle collisions. Acad Emerg Med. 2014;21(11):1240–8. https://doi.org/10.1111/acem.12506.

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