Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement

• Published in: Journal of the American College of Radiology Vol. 21; no. 7; pp. 1108 - 1118
• Main Authors: Marin, Jennifer R., Lyons, Todd W., Claudius, Ilene, Fallat, Mary E., Aquino, Michael, Ruttan, Timothy, Daugherty, Reza J.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2024
• Subjects: Child; Diagnostic Imaging - standards; Emergency Service, Hospital; Humans; Pediatrics - standards; United States; United States; CT; ALARA; PCP; PE; ED
• ISSN: 1546-1440; 1558-349X; 1558-349X
• DOI: 10.1016/j.jacr.2024.03.015

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.