A high plasma to PRBC transfusion ratio (>/= 1:2) was not beneficial in pediatric massive trauma transfusion. But this study was different than adult studies of damage control resuscitation in that these children did not receive platelets

A negative c-spine CT had 99.9% NPV for clinically significant c-spine injury in intoxicated patients.  The Western Trauma Association recommends c-spine clearance, even in intoxicated patients, if gross motor function is normal, no neurologic complaints, and negative c-spine CT per experienced radiologist.  Be careful out there, and get institutional buy-in if you plan to put this into practice.

FAST exam didn't have an impact on the care of stable children with torso trauma.

You need to know this decision rule cold.  Before doing a head CT on any child, think through this decision aid first

C-spine injury is rare in children under 3 years.  GCS < 14, GCS (eye) of 1, MVC mechanism, or age between 2- 3 years were associated with c-spine injury.

NOACs were not associated with an increased risk of traumatic ICH compared to other anticoagulant or antiplatelet agents.

Arterial injury may be ruled out with a careful physical exam showing no hard or soft signs and ABI 0.9 or greater.

Older patients taking antiplatelet agents, including aspirin 81mg, or anticoagulants have tSAH about 3.5% of the time with simple ground level fall.

These 6 criteria may help when considering the imaging strategy for children with blunt abdominal trauma.

Clinical judgment alone was not very accurate in predicting serious injury compared with whole-body CT.  But patients with a completely normal exam may be an exception.