BCMS Medical Record Fall 2020 - 35

In the future, the first steps will be to finish the analysis of all of the
charts, obtain an official percentage of how many injuries would
have been missed to determine the significance, and also inquire
deeper into the specific cases that had a negative PECARN but still
received a CT. It will also be important to analyze why CT scans
were not done in cases that had positive PECARN results. A future
study idea could be to reach out to doctors to determine why they
choose to order a CT scan even if the PECARN is negative. Another
recommendation would be to include automatic questions in
EPIC that list the seven PECARN criteria for every pediatric blunt
abdominal trauma case so that information is no longer missed and
PECARN can always be determined. In order for this tool to work as
effectively as possible, it will be necessary for everyone to commit to
using it and always follow the same guidelines. A balance will have to
be found in order to ensure injuries are not being missed while still
keeping the radiation exposure to as minimal as possible.
McKenna Brower is scheduled to graduate from Syracuse
University, Syracuse, NY in 2021 with a major in Biology
and Forensic Science. In the summer of 2019 she served
as an intern in the Dauphin County Coroner's Office. Her
volunteer activities include fundraising for the Golisano
Children's Hospital through work with the dance marathon
organization OttoTHON.

James Holmes et al., Identifying Children at Very Low Risk of
Clinically Important Blunt Abdominal Injuries(The American College
of Emergency Physicians, 2012), 1.
1

2

Holmes, Identifying, 1.

3

Holmes, Identifying, 1.

4

Holmes, Identifying, 5.

PA Harris, R Taylor, R Thielke, J Payne, N Gonzalez, JG. Conde,
Research electronic data capture (REDCap) - A metadata-driven
methodology and workflow process for providing translational research
informatics support, J Biomed Inform. 2009 Apr;42(2):377-81.
5

6
PA Harris, R Taylor, BL Minor, V Elliott, M Fernandez, L O'Neal,
L McLeod, G Delacqua, F Delacqua, J Kirby, SN Duda, REDCap
Consortium, The REDCap consortium: Building an international
community of software partners, J Biomed Inform. 2019 May 9 [doi:
10.1016/j.jbi.2019.103208

continued on next page >

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BCMS Medical Record Fall 2020

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