Most Missed Cases: Non-Accidental Trauma

Follow along as our expert subspecialist reviews this case of non-accidental trauma demonstrated on a babygram radiograph. Non-accidental trauma should be considered when there are injuries inconsistent with the patient history, multiple injuries at varying stages of healing, evidence of neglect, or superficial injuries such as burns and bruises.

Over the last 10 years, the Department of Radiology at the University of Florida College of Medicine has conducted a simulation-based evaluation of radiology resident competence in critical care imaging.

243 residents interpreted this case of non-accidental trauma as one of 65 cases during an 8-hour simulated on-call shift, with a median score of 0 out of 10 and an overall average score of 1.04 out of 10.

Overall, the average number of points lost out of 10 to observational discipline was 8.76. At the same time, 0.04 points were lost due to interpretive errors on the part of the residents.

We define an effective report to be one which achieves scores between 7 and 10. In terms of letter grades, this would be A & B. In this “most missed” case 10% of residents produced effective reports.

We define a report having a critical error to be one with scores between 0 and 2. In terms of letter grades, this would be F & D. In this “most missed” case 89% of residents produced reports with critical error(s).

View the full DICOM set and final report here: https://bit.ly/3LrRyUZ

Claim 0.5 AMA PRA Category 1 CME Credit™ per case by reviewing this case and others available in our Decision Support critical care case library. Use WIDIonline to fill in your knowledge gaps by reviewing our educational curriculum on this subject.

Visit WIDI Learn to review our Non Accidental Trauma learning module:
https://widionline.xray.ufl.edu/learn/curriculum/pediatric/non-accidental-trauma

WIDI Online: https://widionline.xray.ufl.edu/
Twitter: https://twitter.com/UFLWIDI

WIDI SIM is a critical care radiology SIMulation consisting of 65 cases across all subspecialties and modalities, including normals, given over an eight hour “shift” experience.

For more information on WIDI SIM: https://widi.xray.ufl.edu/widi-research/publications/

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#emergencyradiology #pediatricradiology #nonaccidentaltrauma

0:00 Intro
0:12 Case Statistics
1:08 Missed Case: Non-Accidental Trauma
2:05 Teaching Points

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