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ED Paediatric Major Trauma Imaging Decision Tool

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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