Skeletal surveys in intubated patients: does UK clinical practice match national guidelines?

Introduction The investigation of suspected paediatric non-accidental injury in children under 2 years of age includes a skeletal survey, which is also indicated in older children on a case-by-case basis. In 2018, the UK national standards for the ‘radiological investigation of suspected physical abuse in children’ were updated by relevant radiology and radiography bodies and endorsed by the Royal College of Paediatrics and Child Health.1 The standards now mandate a skeletal survey within 72 hours of presentation, ideally within 24 hours. Initial and targeted follow-up images facilitate the crucial timing of any bony injuries that the child has sustained. The medicolegal implications are clear, and ultimately, the child and family’s future may depend on accurate radiological diagnosis. The standards make little reference to critically ill or injured children other than to acknowledge those with serious injury may require paediatric intensive care (PIC). However, severely injured children with...
Source: Archives of Disease in Childhood - Category: Pediatrics Authors: Tags: PostScript Source Type: research