Departments of Pediatrics, Emergency Medicine, & Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Division of Emergency Medicine, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts.
Ann Emerg Med. 2024 Aug;84(2):e13-e23. doi: 10.1016/j.annemergmed.2024.03.023.
Advanced imaging, including ultrasonography, computed tomography, and magnetic resonance imaging (MRI), is an integral component to the evaluation and management of ill and injured children in the emergency department. As with any test or intervention, the benefits and potential impacts on management must be weighed against the risks to ensure that high-value care is being delivered. There are important considerations specific to the pediatric patient related to the ordering and interpretation of advanced imaging. This policy statement provides guidelines for institutions and those who care for children to optimize the use of advanced imaging in the emergency department setting and was coauthored by experts in pediatric and general emergency medicine, pediatric radiology, and pediatric surgery. The intent is to guide decision-making where children may access care.
高级影像学检查，包括超声、计算机断层扫描（CT）和磁共振成像（MRI），是急诊科评估和治疗患病和受伤儿童的重要组成部分。与任何检查或干预一样，必须权衡其获益和对治疗的潜在影响与风险，以确保提供高价值的医疗服务。对于儿科患者，与高级影像学的检查和解读相关，有一些特定的注意事项。本政策声明为医疗机构和儿科医疗、普通急诊医学、儿科放射学和小儿外科领域的专家制定了指导意见，旨在优化急诊科高级影像学的使用，旨在为儿童就诊时的决策提供指导。
