Related Experiment Video
Updated: Jan 14, 2026

Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
Published on: September 22, 2023
Avoiding Clinical and Imaging Diagnostic Errors in Thoracoabdominal Trauma
Carlie Smallwood1, Zachary Burroughs2
1Department of Pediatrics, Prisma Health Upstate, Greenville, USA.
Insights
Diagnosing and managing thoracic and abdominal trauma in children is critical. This review identifies diagnostic errors in pediatric trauma patients to improve emergency department care and reduce mortality.
Area of Science:
- Pediatric Emergency Medicine
- Trauma Surgery
- Diagnostic Imaging in Pediatrics
Background:
- Thoracic and abdominal trauma are primary causes of death in children.
- Accurate diagnosis and prompt management are crucial for pediatric trauma patients.
- Diagnostic errors in pediatric trauma care increase morbidity and mortality.
Purpose of the Study:
- To identify common diagnostic errors in pediatric thoracic and abdominal trauma.
- To propose strategies for improving diagnostic accuracy and patient outcomes.
- To enhance the management of traumatic injuries in pediatric emergency settings.
Main Methods:
- Literature review of diagnostic errors in pediatric trauma.
- Analysis of case studies and clinical guidelines.
- Synthesis of best practices for diagnosis and management.
Main Results:
- Common errors include delayed diagnosis, missed injuries, and misinterpretation of imaging.
- Inadequate training and communication contribute to diagnostic inaccuracies.
- Specific challenges exist in evaluating blunt versus penetrating trauma in children.
Conclusions:
- Improving diagnostic accuracy requires enhanced training, standardized protocols, and multidisciplinary collaboration.
- Early and precise diagnosis of pediatric thoracic and abdominal trauma is essential for survival.
- Addressing diagnostic errors can significantly reduce mortality and long-term complications in pediatric trauma patients.
Abstract:
Thoracic and abdominal trauma are leading causes of mortality in pediatric patients making their diagnosis and management of utmost importance in children who present to the emergency department for traumatic injuries. Diagnostic errors can lead to increased morbidity and mortality in this already at-risk population. This article aims to identify these diagnostic errors and address ways to improve outcomes in pediatric patients presenting with thoracic and abdominal trauma.
Related Concept Videos
Radiological Investigation I: X-ray and CT
Imaging Studies I: CT and MRI
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Ultrasonography
During an ultrasonography procedure, a handheld device called...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Aneurysm II: Clinical Manifestations and Diagnostic Studies

