July 10, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2025-215859

Clinician characteristics associated with CT use in children with minor blunt head trauma at very low risk for clinically important traumatic brain injuries

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The authors aimed to investigate how clinician characteristics and risk tolerances influence the use of CT scans in children with minor blunt head trauma who are at very low risk for clinically important traumatic brain injuries (ciTBI). Their findings revealed that factors such as years of experience, lower risk tolerance, and a smaller proportion of pediatric patients in practice were associated with increased CT ordering. The study suggests that enhancing the involvement of pediatric experts in imaging decisions and addressing clinician biases could help reduce unnecessary CT scans in this population.

Pradip P Chaudhari, Irma T Ugalde, Mohamed Badawy, Paul Ishmine, Kenneth Yen, Kevan A McCarten-Gibbs, Donovan Nielsen, Nisa Atigapramoj, Daniel J Tancredi, James F Holmes, Nathan Kuppermann

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