Visrutaratna P, Na-Chiangmai W. Computed tomography of blunt abdominal trauma
in children. Singapore Med J. 2008 Apr;49(4):352-8; quiz 359.
Computed tomography (CT) plays a major role in diagnosis of blunt abdominal trauma of haemodynamically-stable children. The purpose of this article is to review the CT findings in children with hepatic, splenic, renal, adrenal, pancreatic, bowel, and mesentery injuries and in children with blunt abdominal trauma and active haemorrhage.
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Kawashima A, Sandler CM, Corl FM, West OC, Tamm EP, Fishman EK, et al. Imaging of renal trauma: a comprehensive review. Radiographics : a review publication of the Radiological Society of North America, Inc. 2001 May;21(3):557-574. Leer más »
Villavicencio RT, Aucar JA, Wall MJ. Analysis of thoracoscopy in trauma. Surgical endoscopy. 1999 Jan;13(1):3-9. Leer más »
Curso ITLS sobre manejo inicial del trauma.
Los días 27 y 28 de noviembre se realizará curso “International Trauma Life Support” en la sede de la Cruz Roja Manizales.
Inversión: $ 400.000
Información: crc.docencia@une.net.co Tel 8866300
Se entrega libro con un mes de anticipación para estudio
Se entrega certificación ITLS internacional con validez de 3 años
Reflexionemos acerca de las dosis de radiación…..
Dos artículos. Disponibles en citeulike sccp
Pediatric trauma is usually a nonoperative experience for the pediatric general surgeon. The pediatric trauma surgeon resuscitates the child and then evaluates and triages the identified injuries. A common diagnostic tool is the computed tomography (CT) scan. Most children who require evaluation for significant trauma will get a CT scan, but there are no national guidelines directing the assessment. Injuries to the head, cervical spine, chest, and abdomen can all be imaged with a CT scan; the question is whether the liberal approach to imaging children is appropriate. Over the past decade, concern has arisen about the radiation dose delivered by CT. This concern has generated a national campaign to “image gently.” This article reviews the data involving the risk of medical radiation exposure and discusses strategies for managing the risk.
BACKGROUND: The amount of imaging studies performed for disease diagnosis has been rapidly increasing. We examined the amount of radiation exposure that pediatric trauma patients receive because they are an at-risk population. Our hypothesis was that pediatric trauma patients are exposed to high levels of radiation during a single hospital visit.
METHODS: Retrospective review of children who presented to Johns Hopkins Pediatric Trauma Center from July 1, 2004, to June 30, 2005. Radiographic studies were recorded for each patient and doses were calculated to give a total effective dose of radiation. All radiographic studies that each child received during evaluation, including any associated hospital admission, were included.
RESULTS: A total of 945 children were evaluated during the study year. A total of 719 children were included in the analysis. Mean age was 7.8 (+/-4.6) years. Four thousand six hundred three radiographic studies were performed; 1,457 were computed tomography (CT) studies (31.7%). Average radiation dose was 12.8 (+/-12) mSv. We found that while CT accounted for only 31.7% of the radiologic studies performed, it accounted for 91% of the total radiation dose. Mean dose for admitted children was 17.9 (+/-13.8) mSv. Mean dose for discharged children was 8.4 (+/-7.8) mSv (p < 0.0001). Burn injuries had the lowest radiation dose [1.2 (+/-2.6) mSv], whereas motor vehicle collision victims had the highest dose [18.8 (+/-14.7) mSv].
CONCLUSION: When the use of radiologic imaging is considered essential, cumulative radiation exposure can be high. In young children with relatively long life spans, the benefit of each imaging study and the cumulative radiation dose should be weighed against the long-term risks of increased exposure.

Organizado por la Sociedad Colombiana de Cirugía Pediátrica y PALS Colombia.
Inversión: $ 600.000
Dirigido a: Cirujanos pediátricos, pediatras, anestesiólogos, intensivistas, médicos generales y enfermeras.
Informes e inscripciones: celular 317 668 7687, fijo (1) 271 1659
Los días 17 y 18 de julio de 2010 se realizará un curso I.T.L.S. (International Trauma Life Support) a cargo de la Facultad de Ciencias para la Salud de la Univesidad de Caldas y de la Cruz Roja Seccional Caldas.
Inversión: $ 470.000
Se otorgará certificación internacional
Se invita a participar de manera especial a los residendentes de cirugía y estudiantes de últimao año del programa de Medicina y Enfermería.
Mayores informes: webmastersccp@gmail.com