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Children have different injury patterns to adults so the imaging strategies are also different. Each child should be imaged on a individualised basis.
There is no place for routine ‘whole body’ or ‘pan scan’ imaging in children, who are considerably more radiation sensitive. There is no role for routine screening pelvis radiographs. Trauma imaging in children should be targeted and selective. This guidance should always be used alongside clinical
judgment.
NICE Feb 2016: Major Trauma: assessment and initial management
RCR 2014: Paediatric trauma protocols
NICE Jan 2019: Head injury: assessment and early management
Last reviewed: 02 June 2022
Next review: 02 June 2025
Author(s): Dr Christopher Pollard (Consultant Neuroradiologist, Institute of Neurosciences, Glasgow) & Dr Greg Irwin (Consultant Paediatric Radiologist, RHCG).
Co-Author(s): Dr Marie Spiers (Consultant Paediatric Emergency Medicine & Joint RHCG Clinical lead for trauma) & Dr Gillian Campbell (Consultant Paediatric Emergency Medicine, RHCG)
Approved By: Scottish Trauma Network (STN) Paediatric Subgroup