Thoracostomy and Thoracotomy for Emergency Management of Pediatric Pleural Space Pathologies (Trauma CME) | Points & Pearls
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Thoracostomy and Thoracotomy for Emergency Management of Pediatric Pleural Space Pathologies (Trauma CME)

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Points & Pearls Excerpt

  • The differential diagnosis for pleural space pathology in pediatric patients is broad and includes spontaneous, traumatic, inflammatory, infectious, and iatrogenic causes.
  • Initial management should include a thorough history and physical examination, as well as primary and secondary surveys in trauma cases.
  • Chest x-ray is the first-line imaging modality for suspected pleural space disease, due to its rapid availability and low radiation exposure. ATLS® guidelines recommend using chest x-ray as the initial imaging modality, even though its sensitivity for detecting thoracic injuries in pediatric patients is relatively low.4
  • Use ultrasound as the first-line diagnostic imaging modality when detecting small pneumothoraces and effusions and for procedural guidance.25,26
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Publication Information
Authors

Chantel Johnson, MD; James Dodington, MD

Peer Reviewed By

Ilene Claudius, MD; Kaitlyn Votta, MD

Publication Date

April 1, 2026

CME Expiration Date

April 1, 2029    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits, subject to your state and institutional approval.

Pub Med ID: 41861350

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