Paediatric Blunt Trauma and Microhaematuria

Cite this article as:
Taylan Gurgenci. Paediatric Blunt Trauma and Microhaematuria, Don't Forget the Bubbles, 2016. Available at:

Bottom line pearls:

  • Gross haematuria must be taken seriously as it raises the likelihood of finding significant renal pathology
  • Microhaematuria of any degree is most useful when serial urinalyses are performed.  Seeing a downward trend in the degree of microhaematuria is much more useful than the actual number.
  • The received wisdom suggesting a microhaematuria of 50RBC/HPF is the dividing line between trivial and significant haematuria is not supported by much evidence.
  • Microhaematuria in a child with a possible renal injury is best managed by serial examination, serial FBC, and serial urinalysis.  Discharge is safe if the examination remains stable, the FBC is stable, and the microhaematuria resolves.
  • There is no role for the urine dipstick in suspected renal injury.
  • Adult imaging protocols may be applied to paediatric blunt trauma though with some important provisos.
blood from a stone

6 PEM papers that could change your practice – #6 – getting urine from neonates

Cite this article as:
Tessa Davis. 6 PEM papers that could change your practice – #6 – getting urine from neonates, Don't Forget the Bubbles, 2014. Available at:

Simon Binks, an Emergency Medicine doc in Wollongong Hospital recently gave an awesome talk on six papers that changed his paediatric emergency medicine practice in the last year. This week we are posting one each day.