Clinical Pediatric Emergency Medicine
Volume 11, Issue 1 , Pages 18-21 , March 2010

Do Routine Laboratory Tests Add to the Care of the Pediatric Trauma Patient?

  • Jeffrey F. Linzer Sr, MD

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Jeffrey F. Linzer Sr MD, Departments of Pediatrics and Emergency Medicine, Emory University School of Medicine, Children's Healthcare of Atlanta, GA 30322.

References 

  1. Keller MS, Coln CE, Trimble JA, et al. The utility of routine trauma laboratories in pediatric trauma resuscitations. Am J Surg. 2004;188:671–678
  2. Namias N, McKenney MG, Martin LC. Utility of admission chemistry and coagulation profiles in trauma patients: a reappraisal of traditional practice. J Trauma. 1996;41:21–25
  3. Capraro AJ, Mooney D, Waltzman ML. The use of routine laboratory studies as screening tools in pediatric abdominal trauma. Pediatr Emerg Care. 2006;22:480–484
  4. Tasse JL, Janzen ML, Ahmed NA, et al. Screening laboratory and radiology panels for trauma patients have low utility and are not cost effective. J Trauma. 2008;65:1114–1116
  5. Cotton BA, Liao JG, Burd RS. The utility of clinical and laboratory data for predicting intraabdominal injury among children. J Trauma. 2005;58:1306–1307
  6. Quinlan D, Gearhart J. Blunt renal trauma in childhood. Features indicating severe injury. Br J Urol. 1990;66:526–531
  7. Stein J, Kaji D, Eastham J, et al. Blunt trauma in the pediatric population: indications for radiographic evaluation. Urology. 1994;44:406–410
  8. Isaacman DJ, Scarfone RJ, Kost SI, et al. Utility of routine laboratory testing for detecting intra-abdominal injury in the pediatric trauma patient. Pediatrics. 1993;92:691–694
  9. Holmes JF, Sokolove PE, Brant WE, et al. Identification of children with intra-abdominal injuries after blunt trauma. Ann Emerg Med. 2002;39:500–509
  10. Taylor GA, Eichelberger MR, Potter BM. Hematuria: a marker of abdominal injury in children after blunt trauma. Ann Surg. 1988;208:688–693
  11. Lieu TA, Fleisher GR, Mahboubi S, et al. Hematuria and clinical findings as indicators for intravenous pyelography in pediatric blunt renal trauma. Pediatrics. 1988;82:216–222
  12. Abou-Jaoude WA, Sugarman JM, Fallat ME, et al. Indicators of genitourinary tract injury or anomaly in cases of pediatric blunt trauma. J Pediatr Surg. 1996;31:88–90
  13. Morey AF, Bruce JE, McAninch JW. Efficacy of radiographic imaging in pediatric blunt renal trauma. J Urol. 1996;156:2014–2018
  14. Perez-Brayfield MR, Gatti JM, Smith EA, et al. Blunt dramatic hematuria and children. Is a simplified algorithm justified. J Urol. 2002;167:2543–2547
  15. Stalker HP, Kaufman RA, Stedje K. The significance of hematuria and children after blunt abdominal trauma. Am J Roentgenol. 1990;154:569–571
  16. Chu FY, Lin HJ, Guo HR, et al. A reliable screening test to predict liver injury in pediatric blunt torso trauma. Eur J Trauma Emerg Surg. 2009;
  17. Holmes JF, Mao A, Awasthi S, et al. Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma. Ann Emerg Med. 2009;54:528–533
  18. Adamson WT, Hebra A, Thomas PB, et al. Serum amylase and lipase alone are not cost-effective screening methods for pediatric pancreatic trauma. J Pediatr Surg. 2003;38:354–357
  19. Simon HK, Muehlberg A, Linakis JG. Serum amylase determinations in pediatric patients presenting to the ED with acute abdominal pain or trauma. Am J Emerg Med. 1994;12:292–295
  20. Hymel KP, Abshire TC, Luckey DW, et al. Coagulopathy in pediatric abusive head trauma. Pediatrics. 1997;99:371–375
  21. Miner ME, Kaufman HH, Graham SH, et al. Disseminated intravascular coagulation fibrinolytic syndrome following head injury in children: frequency and prognostic implications. J Pediatr. 1982;100:687–691
  22. Vavilala MS, Dunbar PJ, Rivara FP, et al. Coagulopathy predicts poor outcome following head injury in children less than 16 years of age. J Neurosurg Anesth. 2001;13:13–18
  23. Harhangi BS, Kompanje EJ, Leebeek FW, et al. Coagulation disorders after traumatic brain injury. Acta Neurochir. 2008;150:165–175
  24. Keller MS, Fendya DG, Weber TR. Glasgow Coma Scale predicts coagulopathy in pediatric trauma patients. Semin Pediatr Surg. 2001;10:12–16
  25. Holmes JF, Goodwin HC, Land C, et al. Coagulation testing in pediatric blunt trauma patients. Pediatr Emerg Care. 2001;17:324–328
  26. Centers for Medicare and Medicaid Services . Medicare clinical laboratory fee schedule (09CLAB.Zip). Available at: http://www.cms.hhs.gov/ClinicalLabFeeSched/02_clinlab.asp#TopOfPageAccessed October 12, 2009
  27. Bryant MS, Tepas JJ, Talbert JL, et al. Impact of emergency room laboratory studies on the ultimate triage and disposition of the injured child. Am Surg. 1988;54:209–211
  28. Miller D, Garza J, Tuggle D, et al. Physical examination as a reliable tool to predict intra-abdominal injuries in brain-injured children. Am J Surg. 2006;192:738–742

PII: S1522-8401(09)00114-1

doi: 10.1016/j.cpem.2009.12.006

Clinical Pediatric Emergency Medicine
Volume 11, Issue 1 , Pages 18-21 , March 2010

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