Abstract Aims and Objectives Intra-abdominal injury is found in only 25% of paediatric trauma patients representing a large proportion of patients undergoing unnecessary exposure to ionising radiation and increased cancer risk from CT abdomen scans. Multiple guidelines exist to aid decision-making for CT abdomen requisition in trauma patients. Alder Hey Children’s Hospital use the North West Children’s Major Trauma Network guidelines (NWCMTN) for CT abdomen requisitions in trauma.