What is Emergency Medicine - How frequent are pediatric mediastinal (great vessel) injuries?12/29/2022 What is Emergency Medicine - How frequent are pediatric mediastinal (great vessel) injuries? Children hardly ever suffer from mediastinal injuries. Aortic injuries are much less common in children than in adults due to the great compliance of the chest wall and flexibility of the ligamentous tissues of the mediastinum. The projected cancer risk from a chest CT in children has been demonstrated to exceed the positive rate of chest CTs in this cohort, hence chest imaging should be avoided in children without a strong pre-test probability for a blunt thoracic aortic injury.
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