Balancing Advanced Imaging Risks and Benefits for Pediatric Emergency Department Patients

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Several medical associations issued advanced imaging recommendations to improve pediatric emergency department care and reduce risks, such as radiation exposure and false-positives results.

When an ill or injured child arrives at an emergency department, clinicians face a balancing act when considering how advanced imaging can assist with a diagnosis, particularly if their facility does not have a focus on pediatric care.

"More imaging doesn't necessarily mean better care," said lead author Jennifer R. Marin, MD, MSc, a member of the AAP Committee on Pediatric Emergency Medicine and a professor of pediatrics, emergency medicine, and radiology at the University of Pittsburgh School of Medicine, Pittsburgh. The statement also provides guidance for primary care clinicians, Marin said. For suspected appendicitis or kidney stones, ultrasound is recommended as the first-line imaging modality. When possible, clinicians should refer families to emergency departments with the capacity to perform pediatric ultrasounds.

 

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