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ACR Appropriateness Criteria® Minor Blunt Trauma.

, Carrie N Hoff¹, Farid Hajibonabi²

¹Emory Healthcare/Emory University School of Medicine, Atlanta, Georgia.

Journal of the American College of Radiology : JACR

|February 26, 2026

Summary

Minor blunt trauma guidelines help determine appropriate medical imaging for patients with injuries from falls or vehicle collisions. These evidence-based criteria aid clinicians in selecting the best diagnostic approach for low-risk trauma cases.

Keywords:

AUC Appropriateness Criteria appropriate use criteria assault fall from bicycle ground-level fall low-speed MVC minor trauma sports injury

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Area of Science:

Medical Imaging
Trauma Care
Evidence-Based Medicine

Background:

Trauma, including falls and motor vehicle collisions (MVCs), frequently necessitates medical evaluation.
Minor blunt trauma involves nonfatal injuries to a single body part or low-risk mechanisms.
Patient assessment assumes ambulatory status, no distracting injuries, and normal mental status.

Purpose of the Study:

To outline evidence-based guidelines for medical imaging in minor blunt trauma.
To provide a framework for determining the appropriateness of imaging procedures.

Main Methods:

Utilizes the American College of Radiology Appropriateness Criteria.
Employs systematic analysis of peer-reviewed medical literature.
Adapts established methodologies like Grading of Recommendations Assessment, Development, and Evaluation (GRADE).
Incorporates the RAND/UCLA Appropriateness Method for clinical scenarios.

Main Results:

Guidelines are developed through annual review by multidisciplinary expert panels.
Methodology supports systematic literature analysis to inform recommendations.
Expert opinion serves as an evidentiary source when literature is lacking.

Conclusions:

The American College of Radiology Appropriateness Criteria provide evidence-based recommendations for imaging in minor blunt trauma.
These guidelines assist in the appropriate selection of diagnostic procedures for low-risk trauma patients.
The process ensures recommendations are informed by the best available evidence and expert consensus.