Approach to trauma (pediatrics) Quiz: Ace Your Exams
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A 7-year-old boy is brought to the emergency department after falling from a tree. The child landed on his back and briefly lost consciousness but is now awake and alert. There is no past medical history and no medications. Temperature is 36.7°C (98.1°F), heart rate is 110/min, respiratory rate is 22/min, blood pressure is 104/64 mmHg, and oxygen saturation is 99% on room air. The primary survey is unremarkable. During the secondary survey, the child reports a headache and neck pain. Examination reveals midline cervical spine tenderness and mild bruising across the upper chest. The musculoskeletal examination is normal, with full range of motion and no swelling, tenderness, or deformities in any extremity. The abdomen is nontender, and distal pulses are intact. Which of the following is the most appropriate next diagnostic step to evaluate this patient’s injuries?
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