Utilization of imaging in the evaluation of pediatric blunt liver and spleen injury: a national trauma data bank analysis

The addition of CT imaging to US did not appear to affect decision-making for operative management in pediatric BLSI patients. It appears that Level I centers and non-pediatric verified centers have a higher US followed by CT protocol. Further study is needed to determine the use of US and FAST in managing BLSI. Adoption of guidelines emphasizing conservative imaging utilization in pediatric BLSI is necessary to better allocate limited resources.