Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement
Author:
Marin Jennifer R.1, Lyons Todd W.2, Claudius Ilene3, Fallat Mary E.4, Aquino Michael5, Ruttan Timothy6, Daugherty Reza J.7, , Conners Gregory P., Owusu-Ansah Sylvia, Caperell Kerry S., Hoffmann Jennifer, Hsu Benson, Hsu Deborah, McCain Jennifer E., Saidinejad Mohsen, Waseem Muhammad, Tellez Sue, , Otero Hansel J., Acharya Patricia Trinidad, Alazraki Adina Lynn, Benya Ellen, Brown Brandon Patrick, Laskosz Laura, , Amato Christopher S., Georgadarellis Alexandria, Dietrich Ann Marie, Sorrentino Annalise, Foster Ashley, Sulton Carmen D., Chang Cindy, Slubowski Daniel, Wallin Dina, Mendez Donna, Rose Emily A., Crawford Erika Bishop, Santillanes Genevieve, Hsu George, Hooley Gwendolyn C., Barata Isabel Araujo, Homme James L., Goodloe Jeffrey Michael, Wall Jessica J., Valente Jonathan Harris, Easter Joshua, Li Joyce, Brown Kathleen, Berg Kathleen Theresa, Alade Kiyetta Hanan, Rice Lauren, Joseph Madeline Matar, Auerbach Marc, Gausche-Hill Marianne, Heniff Melanie, Stoner Michael J., Gerardi Michael Joseph, Saidinejad Mohsen, Lee Moon O., Waseem Muhammad, Ishimine Paul T., Hiu-Fung Lam Samuel, Fox Sean M., Sivasankar Shyam Mohan, Lawson Simone L., Amanullah Siraj, Lin Sophia D., Sandelich Stephen M., Cheng Tabitha Autumn, Walls Theresa Ann, Burroughs Zachary, Shahid Sam
Affiliation:
1. aDepartments of Pediatrics, Emergency Medicine, & Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 2. bDivision of Emergency Medicine, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts 3. cDepartment of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California 4. dThe Hiram C. Polk, Jr Department of Surgery, University of Louisville School of Medicine, Norton Children’s Hospital, Louisville, Kentucky 5. eCleveland Clinic Imaging Institute, and Section of Pediatric Imaging, Cleveland Clinic Lerner College of Medicine of Case Western University, Cleveland Clinic Children’s Hospital, Cleveland, Ohio 6. fDepartment of Pediatrics, Dell Medical School, The University of Texas at Austin; US Acute Care Solutions, Canton, Ohio 7. gDepartments of Radiology and Pediatrics, University of Virginia School of Medicine, UVA Health/UVA Children’s, Charlottesville, Virginia
Abstract
Advanced imaging, including ultrasonography, computed tomography, and magnetic resonance imaging, 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 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 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.
Publisher
American Academy of Pediatrics (AAP)
|
|