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Is it possible to clinically clear the pediatric cervical spine in the setting of trauma? Kenji Inaba details his approach to this often vexing question.
Shawn L. - December 9, 2015 6:09 PM
The context of the practice of the discussants is important. As a trauma Dr Inaba sees peds patients who are subjected to the highest energy/risk mechanisms and are therefore at greatest risk of actually having the very rare pediatric c-spine fracture. In this population with a higher incidence of fracture a CT makes sense. Dr Sloas likely sees more of a general EM peds population (like the rest of us) where it is more questionable to CT patients given the non-trivial dose of a scan if the pretest probability of an injury is not high.