The objective of this article is to review the use of computed tomography ct for the purpose of injury evaluation in pediatric trauma patients the relative risk of radiation induced cancer mortality is discussed evidence based indications for obtaining ct and optimization of ct scanner protocols are provided. Chapter 21 the use of computed tomography in initial trauma evaluation l ola sjoholm steven ross in the 1970s computed axial tomography ct revolutionized the evaluation and management of brain injury since then advances in technology leading to increased speed and resolution have similarly changed the assessment of other injuries. Computed tomography ct is a simple rapid and safe method of evaluating patients with severe facial trauma it has its greatest value in defining the extent of soft tissue damage as well as in assessing the skeletal disruption in a group of 32 patients with severe facial trauma ct outlined the degree of soft tissue and skeletal fracture in 13 of these patients who also underwent . The role of computed tomography ct in the evaluation of victims of blunt abdominal trauma remains controversial this study was done to assess the reliability of ct in the evaluation of blunt abdominal trauma at our institution to determine if the incidence of nontherapeutic laparotomy has decreased with the use of ct scan and to review the time necessary to complete the scans of the 325 patients studied 37 per cent were found to have abdominal injury on ct scan thirty patients
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