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. Author manuscript; available in PMC: 2013 Dec 7.
Published in final edited form as: J Trauma Acute Care Surg. 2012 Aug;73(2):10.1097/TA.0b013e31825840ab. doi: 10.1097/TA.0b013e31825840ab

Table 6.

Recommended clinical guidelines to avoid unnecessary abdominal CT utilization in the evaluation for intra-abdominal injury following blunt torso trauma.

Abdominal CT scan is not necessary in the initial evaluation of children with a reliable physical exam (age >2, GCS>8) following blunt torso trauma in the presence of the following clinical findings:

  • Normal systolic blood pressure for age

  • Normal abdominal exam

  • AST < 200 U/L

  • Hematocrit > 30%

  • Normal Chest x-ray