{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:46:40Z","timestamp":1760057200995,"version":"build-2065373602"},"reference-count":28,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1016\/j.ajem.2019.158422","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T13:07:17Z","timestamp":1567516037000},"page":"1572-1575","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence of serious injuries in low risk trauma patients"],"prefix":"10.1016","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6851-1745","authenticated-orcid":false,"given":"Megha R.","family":"George","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moira","family":"Carroll","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4411-7775","authenticated-orcid":false,"given":"Reuben J.","family":"Strayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajem.2019.158422_bb0005","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1148\/radiol.10100640","article-title":"National trends in CT use in the emergency department: 1995\u20132007","volume":"258","author":"Larson","year":"2011","journal-title":"Radiology"},{"key":"10.1016\/j.ajem.2019.158422_bb0010","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.annemergmed.2011.05.020","article-title":"National trends in use of computed tomography in the emergency department","volume":"58","author":"Kocher","year":"2011","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.ajem.2019.158422_bb0015","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/j.jacr.2014.07.008","article-title":"Continued growth in emergency department imaging is bucking the overall trends","volume":"11","author":"Levin","year":"2014","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.ajem.2019.158422_bb0020","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1001\/jama.2010.1408","article-title":"Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998\u20132007","volume":"304","author":"Korley","year":"2010","journal-title":"JAMA"},{"key":"10.1016\/j.ajem.2019.158422_bb0025","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1056\/NEJM198906013202211","article-title":"Our stubborn quest for diagnostic certainty. A cause of excessive testing","volume":"320","author":"Kassirer","year":"1989","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajem.2019.158422_bb0030","doi-asserted-by":"crossref","first-page":"289","DOI":"10.2214\/ajr.176.2.1760289","article-title":"Estimated risks of radiation-induced fatal cancer from pediatric CT","volume":"176","author":"Brenner","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.ajem.2019.158422_bb0035","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1111\/j.1742-6723.2011.01504.x","article-title":"Comparison of radiation exposure of trauma patients from diagnostic radiology procedures before and after the introduction of a panscan protocol","volume":"24","author":"Asha","year":"2012","journal-title":"Emerg Med Australas"},{"key":"10.1016\/j.ajem.2019.158422_bb0040","first-page":"584","article-title":"Emergency room management of patients with blunt major trauma: evaluation of the multislice computed tomography protocol exemplified by an urban trauma center","volume":"62","author":"Weninger","year":"2007","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2019.158422_bb0045","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/1757-7241-19-73","article-title":"Association between a single-pass whole-body computed tomography policy and survival after blunt major trauma: a retrospective cohort study","volume":"19","author":"Hutter","year":"2011","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"10.1016\/j.ajem.2019.158422_bb0050","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/TA.0b013e3182905ef7","article-title":"Whole-body computed tomography is associated with decreased mortality in blunt trauma patients with moderate-to-severe consciousness disturbance: a multicenter, retrospective study","volume":"75","author":"Kimura","year":"2013","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.ajem.2019.158422_bb0055","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/TA.0000000000000414","article-title":"Whole-body computed tomographic scanning leads to better survival as opposed to selective scanning in trauma patients: a systematic review and meta-analysis","volume":"77","author":"Caputo","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.ajem.2019.158422_bb0060","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/S0140-6736(16)30932-1","article-title":"Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial","volume":"388","author":"Sierink","year":"2016","journal-title":"Lancet"},{"key":"10.1016\/j.ajem.2019.158422_bb0065","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1001\/archsurg.141.5.468","article-title":"Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study","volume":"141","author":"Salim","year":"2006","journal-title":"Arch Surg"},{"key":"10.1016\/j.ajem.2019.158422_bb0070","first-page":"1108","article-title":"Routine versus selective computed tomography of the abdomen, pelvis, and lumbar spine in blunt trauma: a prospective evaluation","volume":"66","author":"Deunk","year":"2009","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2019.158422_bb0075","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1016\/S0140-6736(09)60232-4","article-title":"Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study","volume":"373","author":"Huber-Wagner","year":"2009","journal-title":"Lancet"},{"key":"10.1016\/j.ajem.2019.158422_bb0080","first-page":"648","article-title":"Initial clinical experience with a 64-MDCT whole-body scanner in an emergency department: better time management and diagnostic quality?","volume":"66","author":"Rieger","year":"2009","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2019.158422_bb0085","first-page":"658","article-title":"Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time","volume":"66","author":"Wurmb","year":"2009","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2019.158422_bb0090","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1056\/NEJMra072149","article-title":"Computed tomography-an increasing source of radiation exposure","volume":"357","author":"Brenner","year":"2007","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajem.2019.158422_bb0095","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1001\/archinternmed.2009.427","article-title":"Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer","volume":"169","author":"Smith-Bindman","year":"2009","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.ajem.2019.158422_bb0100","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1001\/archinternmed.2009.440","article-title":"Projected cancer risks from computed tomographic scans performed in the United States in 2007","volume":"169","author":"Berrington de Gonzalez","year":"2009","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.ajem.2019.158422_bb0105","first-page":"147","article-title":"Radiation dose from initial trauma assessment and resuscitation: review of the literature","volume":"52","author":"Hui","year":"2009","journal-title":"Can J Surg"},{"key":"10.1016\/j.ajem.2019.158422_bb0110","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1017\/cem.2014.61","article-title":"Radiation exposure from CT scanning in the resuscitative phase of trauma care: a level one trauma centre experience","volume":"17","author":"Beatty","year":"2015","journal-title":"CJEM"},{"key":"10.1016\/j.ajem.2019.158422_bb0115","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/S0140-6736(12)60815-0","article-title":"Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study","volume":"380","author":"Pearce","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.ajem.2019.158422_bb0120","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1148\/radiol.2303021726","article-title":"Strategies for CT radiation dose optimization","volume":"230","author":"Kalra","year":"2004","journal-title":"Radiology"},{"key":"10.1016\/j.ajem.2019.158422_bb0125","first-page":"1362","article-title":"Comparison of trauma mortality and estimated cancer mortality from computed tomography during initial evaluation of intermediate-risk trauma patients","volume":"70","author":"Laack","year":"2011","journal-title":"J Trauma"},{"year":"2006","series-title":"Committee to assess health risks from exposure to low levels of ionizing radiation. Health risks from low levels of ionizing radiation: BEIR VII, phase 2","author":"National Research Council","key":"10.1016\/j.ajem.2019.158422_bb0130"},{"key":"10.1016\/j.ajem.2019.158422_bb0135","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ajem.2009.05.025","article-title":"Prediction of blunt traumatic injury in high-acuity patients: bedside examination vs computed tomography","volume":"29","author":"Smith","year":"2011","journal-title":"AJEM"},{"key":"10.1016\/j.ajem.2019.158422_bb0140","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1148\/radiology.209.1.9769810","article-title":"Helical CT in children: technical considerations and body applications","volume":"209","author":"Frush","year":"1998","journal-title":"Radiology"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675719305595?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675719305595?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:46:36Z","timestamp":1760024796000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675719305595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S0735675719305595"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2019.158422","relation":{},"ISSN":["0735-6757"],"issn-type":[{"type":"print","value":"0735-6757"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence of serious injuries in low risk trauma patients","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2019.158422","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}