CINXE.COM

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this.features)));n.length>0&&(0,e.R)(36,{targetFeature:r.featureName,missingDependencies:n}),this.features[r.featureName]=new r(this)}))}catch(t){(0,e.R)(22,t);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,R.Zm)();delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.features,delete this.sharedAggregator;return r.ee.get(this.agentIdentifier).abort(),!1}}}({features:[he,w,N,Ne,_e,_,D,ot,ct,je,nt],loaderType:"spa"})})()})();</script><meta http-equiv="Expires" content="0" /><meta name="google-site-verification" content="8JsUO-7v0e8nDKGNuXZSOYAnwU3OdMfkodMPyWhN1Bc" /><meta name="twitter:card" content="summary_large_image"><meta property="og:title" content="CT Scans for Children with Head Injuries" /><meta property="og:description" content="Approximately 50% of children who visit hospital emergency departments with a head injury are given a CT scan, many of which may be unnecessary. Unnecessary exposure to x-rays poses considerable danger to children including increasing the lifetime risk of cancer because a child’s brain tissue is more sensitive to ionizing radiation." /><meta property="og:type" content="article" /><meta property="og:article:published_time" content="2017-08-25T00:00:00" /><meta property="og:fb:app_id" content="115427621803" /><meta property="og:url" content="https://www.healthychildren.org/English/health-issues/conditions/treatments/Pages/CT_Scans_for_Children_with_Head_Injuries.aspx" /><meta property="og:site_name" content="HealthyChildren.org" /><meta property="og:image" content="https://www.healthychildren.org/https://www.healthychildren.org/SiteCollectionImagesArticleImages/ctscan_girl_tech.jpg" /><meta property="og:image" content="https://www.healthychildren.org/_layouts/15/AAP.HealthyChildren/images/hc_favicon_square.png" /><meta name="publish_date" content="2017-08-25"><meta name="publish_image" 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href="https://www.healthychildren.org/English/health-issues/conditions/treatments/Pages/CT_Scans_for_Children_with_Head_Injuries.aspx#" class="root-mobile-link"><span>Safety & Prevention</span></a><div class="nav-dropdown"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/safety-prevention">Safety and Prevention</a></div><ul><li><a href="/english/safety-prevention/all-around/pages/default.aspx" target="_self">All Around</a></li><li><a href="/english/safety-prevention/at-home/pages/default.aspx" target="_self">At Home</a><ul class="dropdown-root-grandchild-container"><li><a href="/english/safety-prevention/at-home/medication-safety/Pages/default.aspx" target="_self">Medication Safety</a></li></ul></li><li><a href="/english/safety-prevention/at-play/pages/default.aspx" target="_self">At Play</a></li><li><a href="/english/safety-prevention/immunizations/pages/default.aspx" target="_self">Immunizations</a></li><li><a href="/english/safety-prevention/on-the-go/pages/default.aspx" target="_self">On The Go</a></li></ul></li></ul></div></li><li><span></span><a href="/english/family-life/pages/default.aspx" target="_self" class="root-desktop-link"><span>Family Life</span></a><a href="https://www.healthychildren.org/English/health-issues/conditions/treatments/Pages/CT_Scans_for_Children_with_Head_Injuries.aspx#" class="root-mobile-link"><span>Family Life</span></a><div class="nav-dropdown two-col-container"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/family-life/pages/default.aspx">Family Life</a></div><ul><li><a href="/english/family-life/family-dynamics/pages/default.aspx" target="_self">Family Dynamics</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/family-life/family-dynamics/communication-discipline/Pages/default.aspx" target="_self">Communication ＆ Discipline</a><a 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class="root-desktop-link nav-active"><span>Health Issues</span></a><a href="https://www.healthychildren.org/English/health-issues/conditions/treatments/Pages/CT_Scans_for_Children_with_Head_Injuries.aspx#" class="root-mobile-link"><span>Health Issues</span></a><div class="nav-dropdown anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/health-issues/pages/default.aspx">Health Issues</a></div><ul><li><a href="/english/health-issues/conditions/pages/default.aspx" target="_self">Conditions</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/conditions/abdominal/Pages/default.aspx" target="_self">Abdominal</a><a href="/English/health-issues/conditions/adhd/Pages/default.aspx" target="_self">ADHD</a><a href="/English/health-issues/conditions/allergies-asthma/Pages/default.aspx" target="_self">Allergies ＆ Asthma</a><a href="/English/health-issues/conditions/Autism/Pages/default.aspx" target="_self">Autism</a><a href="/English/health-issues/conditions/chest-lungs/Pages/default.aspx" target="_self">Chest ＆ Lungs</a><a href="/English/health-issues/conditions/chronic/Pages/default.aspx" target="_self">Chronic Conditions</a><a href="/English/health-issues/conditions/Cleft-Craniofacial/Pages/default.aspx" target="_self">Cleft ＆ Craniofacial</a><a href="/English/health-issues/conditions/COVID-19/Pages/default.aspx" target="_self">COVID-19</a><a href="/English/health-issues/conditions/developmental-disabilities/Pages/default.aspx" target="_self">Developmental Disabilities</a><a href="/English/health-issues/conditions/ear-nose-throat/Pages/default.aspx" target="_self">Ear, Nose ＆ Throat</a><a href="/English/health-issues/conditions/emotional-problems/Pages/default.aspx" target="_self">Emotional Problems</a><a href="/English/health-issues/conditions/eyes/Pages/default.aspx" target="_self">Eyes</a><a href="/English/health-issues/conditions/fever/Pages/default.aspx" target="_self">Fever</a><a href="/English/health-issues/conditions/flu/Pages/default.aspx" target="_self">Flu</a><a href="/English/health-issues/conditions/from-insects-animals/Pages/default.aspx" target="_self">From Insects or Animals</a><a href="/English/health-issues/conditions/genitourinary-tract/Pages/default.aspx" target="_self">Genitals and Urinary Tract</a><a href="/English/health-issues/conditions/head-neck-nervous-system/Pages/default.aspx" target="_self">Head, Neck ＆ Nervous System</a><a href="/English/health-issues/conditions/heart/Pages/default.aspx" target="_self">Heart</a><a href="/English/health-issues/conditions/infections/Pages/default.aspx" target="_self">Infections</a><a href="/English/health-issues/conditions/learning-disabilities/Pages/default.aspx" target="_self">Learning Disabilities</a><a href="/English/health-issues/conditions/seizures/Pages/default.aspx" target="_self">Seizures</a><a href="/English/health-issues/conditions/sexually-transmitted/Pages/default.aspx" target="_self">Sexually Transmitted Infections</a><a href="/English/health-issues/conditions/skin/Pages/default.aspx" target="_self">Skin Conditions</a><a href="/English/health-issues/conditions/treatments/Pages/default.aspx" target="_self">Treatments</a></li></ul></li><li><a href="/English/health-issues/injuries-emergencies/Pages/default.aspx" target="_self">Injuries ＆ Emergencies</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/injuries-emergencies/sports-injuries/Pages/default.aspx" target="_self">Sports Injuries</a></li></ul></li><li><a href="/english/health-issues/vaccine-preventable-diseases/pages/default.aspx" target="_self">Vaccine Preventable Diseases</a></li></ul></li></ul></div></li><li><a href="/english/News/pages/default.aspx" target="_self" class="root-desktop-link"><span>News</span></a><a href="/english/News/pages/default.aspx" class="root-mobile-link"><span>News</span></a></li><li><span></span><a href="/english/tips-tools/pages/default.aspx" target="_self" class="root-desktop-link"><span>Tips & Tools</span></a><a href="https://www.healthychildren.org/English/health-issues/conditions/treatments/Pages/CT_Scans_for_Children_with_Head_Injuries.aspx#" class="root-mobile-link"><span>Tips & Tools</span></a><div class="nav-dropdown two-col-container anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/tips-tools/pages/default.aspx">Tips and Tools</a></div><ul><li><a href="/english/tips-tools/ask-the-pediatrician/pages/default.aspx" target="_self">Ask The Pediatrician</a></li><li><a href="/English/asthmatracker/pages/asthmatracker.aspx" target="_self">Asthma Action Tracker</a></li><li><a href="/English/fmp/Pages/MediaPlan.aspx" target="_self">AAP Family Media Plan</a></li><li><a href="/english/tips-tools/find-pediatrician/Pages/Pediatrician-Referral-Service.aspx" target="_self">Find a Pediatrician</a></li><li><a href="/English/tips-tools/HealthyChildren_Magazine/Pages/default.aspx" target="_self">Healthy Children Magazine</a></li><li><a href="/English/tips-tools/healthy-children-podcast/Pages/podcast.aspx" target="_self">Healthy Children Podcast</a></li></ul><ul><li><a href="/English/tips-tools/HealthyChildren-Texting-Program/Pages/default.aspx" target="_self">Healthy Children Texting Program</a></li><li><a href="/English/MotorDelay/Pages/default.aspx" target="_self">Motor Delay Tool</a></li><li><a href="/english/tips-tools/newsletters/pages/default.aspx" target="_self">Newsletters</a></li><li><a href="/English/healthy-living/fitness/StopWatch-Tool/Pages/default.aspx" target="_self">Physical Activity Checker</a></li><li><a href="/english/tips-tools/symptom-checker/pages/default.aspx" target="_self">Symptom Checker</a></li><li><a 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href="/english/our-mission/pages/sponsorship-opportunities.aspx" target="_self">Sponsorship Opportunities</a></li><li><a href="/english/our-mission/pages/spread-the-word.aspx" target="_self">Spread the Word</a></li></ul></li></ul></div></li><li><a href="http://shop.aap.org/for-parents/" class="btn-shop-aap" target="_blank">Shop AAP</a></li></ul> <div class="mobile-nav-extra"> <div class="extra-pic"> <a id="ctl00_aapTopNavigation_lnkFAP" class="mobile-fap-link" href="/english/tips-tools/find-pediatrician/pages/pediatrician-referral-service.aspx">Find a Pediatrician</a> </div> <div class="mobile-nav-search"> <input name="ctl00$aapTopNavigation$txtMobileSearch" type="text" id="ctl00_aapTopNavigation_txtMobileSearch" /> <input type="submit" name="ctl00$aapTopNavigation$btnMobileSearch" value="" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$aapTopNavigation$btnMobileSearch", "", true, "", "", false, false))" id="ctl00_aapTopNavigation_btnMobileSearch" class="btn-search" /> </div> </div> </div> </div> </nav> <div class="clear"> </div>  <section class="page-content"> <div id="hcMainContainer"> <div class="left-col-container col-xs-3 col-sm-3 col-md-3 col-lg-3"> <h5 class="title rail-left-title"> Health Issues </h5> <div class="rail-left"> <div class="vertical-nav-header-top"></div> <div id="ctl00_cphLeftNav_QuickLaunchNavigationManager"> <div class="vertical-navigation"> <table id="zz1_QuickLaunchMenu" class="ms-navSubMenu1 zz1_QuickLaunchMenu_7 zz1_QuickLaunchMenu_2" cellpadding="0" cellspacing="0" border="0"> <tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun0"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/health-issues/conditions/Pages/default.aspx" style="border-style:none;font-size:1em;">Conditions</a></td> </tr> </table></td> </tr><tr> <td><table border="0" cellpadding="0" cellspacing="0" width="100%" class="ms-navSubMenu2 zz1_QuickLaunchMenu_8"> <tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun1"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/abdominal/Pages/default.aspx" style="border-style:none;font-size:1em;">Abdominal</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun2"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem 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href="/English/health-issues/conditions/Autism/Pages/default.aspx" style="border-style:none;font-size:1em;">Autism</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun5"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/cancer/Pages/default.aspx" style="border-style:none;font-size:1em;">Cancer</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun6"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/chest-lungs/Pages/default.aspx" style="border-style:none;font-size:1em;">Chest & Lungs</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun7"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/chronic/Pages/default.aspx" style="border-style:none;font-size:1em;">Chronic Conditions</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun8"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/Cleft-Craniofacial/Pages/default.aspx" style="border-style:none;font-size:1em;">Cleft & Craniofacial</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun9"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/COVID-19/Pages/default.aspx" style="border-style:none;font-size:1em;">COVID-19</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun10"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" 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class="icon-bar"></span> <span class="icon-bar"></span> </div> <span id="ctl00_cphPageContent_Breadcrumb_lblInThisSection">In This Section</span> </div> <div class="breadcrumb-trail"> <a href="/English" >Healthy Children</a> > <a href="https://www.healthychildren.org/English/health-issues" >Health Issues</a> > <a href="https://www.healthychildren.org/English/health-issues/conditions" >Conditions</a> > <a href="https://www.healthychildren.org/English/health-issues/conditions/treatments" >Treatments</a> > CT Scans for Children with Head Injuries </div> </div> <div class="int-page-header"> <div class="page-section">Health Issues </div> </div> <div class="layout-content">  <div class="article-social-container"> <div class="article-social-left"> <div class="reader-listen-container"> </div> </div> <div class="article-social-right">  <div class="sharethis-inline-share-buttons"></div>  </div> </div> <div id="read_content" class="fontScalerWrapper"> <h1 class="page-title">CT Scans for Children with Head Injuries</h1> <div class="middle-bottom-wpz"> <menu class="ms-hide"> <ie:menuitem id="MSOMenu_Help" iconsrc="/_layouts/15/images/HelpIcon.gif" onmenuclick="MSOWebPartPage_SetNewWindowLocation(MenuWebPart.getAttribute('helpLink'), MenuWebPart.getAttribute('helpMode'))" text="Help" type="option" style="display:none"> </ie:menuitem> </menu> </div>  <div id="ctl00_cphPageContent_EditModePanel1"> <div class="article-image"> <span class="img-desktop-responsive"> <img alt="" src="https://www.healthychildren.org/SiteCollectionImagesArticleImages/ctscan_girl_tech.jpg" style="BORDER: 0px solid; "> </span> <span class="img-mobile-responsive print-no"> <img alt="" src="/SiteCollectionImagesArticleImages/ctscan_girl_tech.jpg" style="BORDER: 0px solid; "> </span> </div> </div> <div> <div id="ctl00_cphPageContent_ctl00_label" style='display:none'>Page Content</div><div id="ctl00_cphPageContent_ctl00__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_ctl00_label"><h2><em>When they need them—and when they don't</em></h2><p>A blow to the head can be scary. But usually it is not very serious. Often there is just a mild <a href="/English/health-issues/injuries-emergencies/sports-injuries/Pages/concussions.aspx">concussion</a>, with no serious injuries like bleeding or cracks to the skull. After a <a href="/English/health-issues/injuries-emergencies/Pages/Head-Injury.aspx">head injury</a>, the doctor may order a test called a CT scan (pronounced "cat" scan). </p><p>A CT scan takes many X-rays, to create a 3D picture of the brain. <strong>But your child may not need a CT scan for a minor head injury. Here's why:</strong> </p><h2>Often, CT scans aren't necessary. </h2><p>About half of children in emergency rooms with head injuries get CT scans. But one in three of the CT scans aren't necessary. Before ordering a CT scan, the doctor should examine the child and ask about the injury and symptoms. If your doctor thinks your child has a mild concussion, a CT scan will probably not be helpful— the CT scan results are usually normal. CT scans are better for other kinds of injuries, such as skull fractures or bleeding in the brain. A concussion is not caused by bleeding in the brain. </p><h2>CT scans have risks. </h2><p>CT scans use radiation, which can increase the risk of cancer. Children, and especially infants, have greater risks because their brains are still developing. And unnecessary CT scans can lead to more tests and treatments, with more risks.</p><h2>CT scans are expensive. </h2><p>CT scans of the brain can cost between $500 and $900. Costs vary widely. It's okay to ask if the scan is really needed before spending the money. </p><h2>When to see a doctor. </h2><p>Go to the doctor right away if your child becomes unconscious, has a headache that won't stop, or is dizzy, confused, or nauseous. These symptoms may happen hours or days later. When to get a CT scan of the brain. A doctor should order a CT scan if it is likely that the child has a skull fracture or bleeding. The doctor should ask about the accident and symptoms listed below. The doctor should also examine the child for signs of skull fracture, such as black eyes and bleeding.</p><h2>The accidents listed below are more likely to cause serious head injuries: </h2><ul><li><p>A motor vehicle accident</p></li><li><p>Falling from three or more feet off the ground </p></li><li><p>Falling down five or more stairs </p></li><li><p>Falling off a bicycle without a helmet </p></li></ul><h2>The symptoms listed below may be signs of serious injury:</h2><ul><li><p>Becoming unconscious </p></li><li><p>Tingling on one side of the body </p></li><li><p>Being dizzy or losing balance </p></li><li><p>Loss of vision or hearing </p></li><li><p>A headache that gets worse </p></li><li><p>Being very sleepy or irritable </p></li></ul><h2>What to expect if a CT scan is needed. </h2><ul><li><p>The CT scan should happen soon. The child may need immediate treatment. </p></li><li><p>The doctor will use the lowest dose of radiation. </p></li><li><p>The scan will include only the head (unless there may be a neck or spine injury). </p></li><li><p>Repeated scans will be avoided.</p></li></ul><p><strong><em>Editor's Note:</em></strong><em> The American Academy of Pediatrics (AAP) released a list of specific tests or treatments that are commonly given to children, but are not always necessary, as part of the Choosing Wisely® campaign, an initiative of the ABIM Foundation. CT scans for minor head injuries were identified; the </em><a href="http://www.choosingwisely.org/doctor-patient-lists/american-academy-of-pediatrics/" target="_blank"><em>full list</em></a><em> gives more detail as to the reasons for taking a closer look at each item, and cites evidence related to each recommendation.</em></p><h2>Additional Information & Resources: </h2><ul><li><p><a href="/English/health-issues/conditions/treatments/Pages/Imaging-Tests.aspx">Imaging Tests & Medical Radiation</a></p></li><li><p><a href="/English/health-issues/injuries-emergencies/Pages/Head-Injury.aspx">Head Injury</a></p></li><li><p><a href="/English/health-issues/injuries-emergencies/sports-injuries/Pages/Sports-Related-Concussion-Understanding-the-Risks-Signs-Symptoms.aspx">Sports-Related Concussion: Understanding the Risks, Signs & Symptoms</a></p></li><li><p><a href="http://www.imagegently.org/" target="_blank">ImageGently.org</a></p></li></ul><div><br></div></div> <div id="ctl00_cphPageContent_PublishingPageContentField_label" style='display:none'>Article Body</div><div id="ctl00_cphPageContent_PublishingPageContentField__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_PublishingPageContentField_label"></div> <dl id="ctl00_cphPageContent_dlLastUpdated" class="article-details"> <dt><span id="ctl00_cphPageContent_lblLastUpdated">Last Updated</span></dt> <dd><span id="ctl00_cphPageContent_lblDate">8/25/2017</span></dd> </dl> <dl id="ctl00_cphPageContent_dlSource" class="article-details"> <dt><span id="ctl00_cphPageContent_lblArticleSource">Source</span></dt> <dd><span id="ctl00_cphPageContent_lblSource">© 2014 Consumer Reports. 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