At 20:54 14/07/2000 -0400, Hisham Omran wrote:
>As we try to develop radiological guidelines for trauma patients, I would
>like to know what is the range of practices regarding obtaining cervical
>spine x rays on young children, involved in trauma.
>When xrays are indicated, How many views are routinely ordered?
>Is the open mouth view ordered on all patients regardless of age?
>We (attempt to)obtain open mouth views on even very young children involved
>in trauma, and therefore if the odontoid views are not optimal(due to age or
>lack of cooperation), (which is commonly the case) should we order a CT to
>look at C1 and C2. How commonly would a patient with a fracture of C1-C2
>have a normal lateral c spine?
>The question becomes should all young children with head/neck trauma who
>have inadequate open mouth views, undergo CT of C1-C2. (especially if the
>neuro, neck and mental status exams and lateral c spine films are normal)
>The input of the group would be appreciated.
>Hisham Omran, MD
>St Christopher's Hospital for Children
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Dr. Peter Barnett MBBS FRACP MSc(epid) FACEM
Department of Emergency Medicine
Royal Children's Hospital
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