• 1
    McCraig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2003 emergency department summary. Advance Data 2005; 358:140.
  • 2
    Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 Emergency Department Summary. Available at: Accessed Feb 24, 2010.
  • 3
    Taylor GA, Sivit CJ. Computed tomography imaging of abdominal trauma in children. Semin Pediatr Surg. 1992; 1:2539.
  • 4
    Peters E, LoSasso B, Foley J, Rodarte A, Duthie S, Senac MO Jr. Blunt bowel and mesenteric injuries in children: do nonspecific computed tomography findings reliably identify these injuries? Pediatr Crit Care Med. 2006; 7:5516.
  • 5
    Livingston DH, Lavery RF, Passannante MR, et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial. J Trauma. 1988; 44:27380.
  • 6
    Albanese CT, Meza MP, Gardner MJ, Smith SD, Rowe MI, Lynch JM. Is computed tomography a useful adjunct to the clinical examination for the diagnosis of pediatric gastrointestinal perforation from blunt abdominal trauma in children? J Trauma. 1996; 40:41721.
  • 7
    Awasthi S, Mao A, Wooton-Gorges SL, Wisner DH, Kuppermann N, Holmes JF. Is hospital admission and observation required after a normal abdominal computed tomography scan in children with blunt abdominal trauma? Acad Emerg Med. 2008; 15:8959.
  • 8
    Ruess L, Sivit CJ, Eichelberger MR, Gotschall CS, Taylor GA. Blunt abdominal trauma in children: impact of CT on operative and nonoperative management. AJR Am J Roentgenol. 1997; 169:10114.
  • 9
    Richards JR, Derlet RW. Computed tomography for blunt abdominal trauma in the ED: a prospective study. Am J Emerg Med. 1998; 16:33842.
  • 10
    Holmes JF, London KL, Brant WE, Kuppermann N. Isolated intraperitoneal fluid on abdominal computed tomography in children with blunt trauma. Acad Emerg Med. 2000; 7:33541.
  • 11
    Guyatt G, Rennie D, Meade MO, Cook DJ. Users’ Guide to the Medical Literature. A Manual for Evidence-Based Clinical Practice, 2nd ed. Columbus, OH: The McGraw-Hill Companies, Inc., 2002.
  • 12
    Agency for Healthcare Research and Quality. Systems to Rate the Strength of Scientific Evidence. Available at: Accessed Mar 25, 2009.
  • 13
    Bixby SD, Callahan MJ, Taylor GA. Imaging in pediatric blunt abdominal trauma. Semin Roentgenol. 2008; 43:7282.
  • 14
    Becker CD, Poletti PA. The trauma concept: the role of MDCT in the diagnosis and management of visceral injuries. Eur Radiol Suppl. 2005; 15(Suppl 4):D1059.
  • 15
    Soto JA, Lucey BC, Stuhlfaut JW, Varghese JC. Use of 3D imaging in CT of the acute trauma patient: impact of PACS-based software package. Emerg Radiol. 2005; 11:1736.
  • 16
    Tsang BD, Panacek EA, Brant WE, Wisner DH. Effects of oral contrast administration for abdominal computed tomography in evaluation of acute blunt trauma. Ann Emerg Med. 1997; 30:713.
  • 17
    Holmes JF, Offerman SR, Chang CH, et al. Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries. Ann Emerg Med. 2004; 43:1208.
  • 18
    Bruny JL, Bensard DD. Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 2004; 13:1128.
  • 19
    Hanks PW, Brody JM. Blunt injury to mesentery and small bowel: CT evaluation. Radiol Clin N Am. 2003; 41:117182.
  • 20
    Halvorsen RA, McKenney K. Blunt trauma to the gastrointestinal tract: CT findings with small bowel and colon injuries. Emerg Radiol. 2002; 9:1415.
  • 21
    Harris HW, Morabito DJ, Mackersie RC, Halvorsen RA, Schecter WP. Leukocytosis and free fluid are important indicators of isolated intestinal injury after blunt trauma. J Trauma. 1999; 46:6569.
  • 22
    Rodriguez C, Barone JE, Wilbanks TO, Rha CK, Miller K. Isolated free fluid on computed tomographic scan in blunt abdominal trauma: a systematic review of incidence and management. J Trauma. 2002; 53:7985.
  • 23
    Christiano JG, Tummers M, Kennedy A. Clinical significance of isolated intraperitoneal fluid on computed tomography in pediatric blunt trauma. J Pediatr Surg. 2009; 44:12428.
  • 24
    Green SM, Rothrock SG. Is pediatric trauma really a surgical disease? Ann Emerg Med. 2002; 39:53740.