ED Paediatric Major Trauma Imaging Decision Tool
The tool is too small to view easily - a problem with the original document - but can be downloaded from the site by following this link
Notes
1. A primary survey pelvic X-ray is not indicated in the paediatric population
2. If there is clinical suspicion of isolated C-spine injury plain C-spine films are normally sufficient to exclude bony injury
3. i) Lap belt injury
ii) Abdominal wall ecchymoses
iii) Abdominal tenderness in conscious patient
iv) Abdominal distension
v) Persistent hypovolaemiavi) PR or NG blood