Is the 'tunnel of death' a suitable modality for investigating the severely traumatized child?
BACKGROUND
The child who has suffered severe physical trauma and is physiologically unstable can often present a diagnostic dilemma to the clinician in the emergency room.


METHODS
In an attempt to clarify the situation there is often a decision made to perform computed tomographic scanning in such children.


RESULTS
This is an extremely dangerous investigation in this situation given that the child has to have a GA as well as being unstable from the injuries.


CONCLUSIONS
Ultrasound is easier, less expensive, can be performed in the emergency room and can be performed by relatively inexperienced operators with good diagnostic accuracy.
Mackay
A
A
Mater Children's Hospital, Brisbane, Queensland, Australia. athol.mackay@hcn.net.au
D002648:Child; D006801:Humans; D002666:Psychology, Child; D014057:Tomography, X-Ray Computed / Q000523:psychology; D014463:Ultrasonography; D014947:Wounds and Injuries / Q000000981:diagnostic imaging* / Q000523:psychology