Holmes JF, Lillis K, Monroe D, et al. Identifying children at very low risk of clinically important blunt abdominal injuries. Ann Emerg Med. 2013;62(2):107-116.e2.

Brenner DJ, Hall EJ. Computed Tomography - an increasing source of radiation exposure.  N Engl J Med. 2007;357(22):2277-84.

Nishijima DK, Yang Z, Clark JA, Kuppermann N, Holmes JF, Melnikow J. A cost-effectiveness analysis comparing a clinical decision rule versus usual care to risk stratify children for intra-abdominal injury after blunt torso trauma. Acad Emerg Med. 2013;20(11):1131-8.

Mahajan P, Kuppermann N, Tunik M, Yen K, Atabaki SM, Lee LK, Ellison AM, Bonsu BK, Olsen CS, Cook L, Kwok MY, Lillis K, Holmes JF.  Comparison of Clinician Suspicion Versus a Clinical Prediction Rule in Identifying Children at Risk for Intra-Abdominal Injuries After Blunt Torso Trauma.  Acad Emerg Med. 2015; 22(9): 1034-1041.

Springer E, Frazier SB, Arnold DH, Vukovic AA.  External Validation of a clinical prediction rule for very low risk pediatric blunt abdominal trauma.  Am J Emerg Med.  2018; epub ahead of print.

Dr. James F. Holmes

PECARN Pediatric Intra-Abdominal Injury (IAI) Algorithm

evidence

thora

breath

vomit

Identifies children at very low risk of clinically important blunt abdominal injuries.

Rules out clinically important blunt abdominal injuries.

PECARN IAI

Cullen Clark, MD, is a combined emergency medicine/pediatrics resident at Louisiana State University Health Sciences Center in New Orleans. Originally from Louisville, Kentucky, Cullen is a graduate of the University of Louisville School of Medicine. His areas of interest include pediatric emergency medicine, pediatric critical care, pain management in the emergency department, and disaster medicine.

Cullen Clark, MD

The PECARN Pediatric Intra-Abdominal Injury Algorithm identifies children at very low risk of clinically important blunt abdominal injuries.

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