Patients with abdominal trauma require rapid assessment, stabilization, and early surgical consultation when indicated to maximize the chances of a successful outcome. Return to play after liver and spleen trauma. Most blunt abdominal trauma is secondary to motor vehicle collisions, whereas the majority of penetrating injuries are predominantly secondary to gunshot or stab wounds. Nonoperative management of solid organ injuries. FAST scan: is it worth doing in hemodynamically stable blunt trauma patients? Surgery. ![]() Natarajan B, Gupta PK, Cemaj S, Sorensen M, Hatzoudis GI, Forse RA. Resident training in emergency ultrasound: consensus recommendations from the 2008 Council of Emergency Medicine Residency Directors Conference. 2006 48:227.Īkhtar S, Theodoro D, Gaspari R, Tayal V, Sierzenski P, Lamantia J, et al. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Prospective study to evaluate the influence of FAST on trauma patient management. ![]() Ollerton JE, Sugrue M, Balogh Z, D’Amours SK, Giles A, Wyllie P. ACP Journal Club: review: bedside ultrasonography has 82% sensitivity and 99% specificity for blunt intraabdominal injury. Serum amylase level on admission in the diagnosis of blunt injury to the pancreas: its significance and limitations. Takishima T, Sugimoto K, Hirata M, Asari Y, Ohwada T, Kakita A. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. Sampalis JS, Denis R, Fréchette P, Brown R, Fleiszer D, Mulder D. Scoop and run to the trauma center or stay and play at the local hospital: hospital transfer’s effect on mortality. Nirula R, Maier R, Moore E, Sperry J, Gentilello L. Diagnosis and management of blunt abdominal trauma. Biophysics of impact injury to chest and abdomen. Does this adult patient have a blunt intra-abdominal injury? JAMA. Nishijima DK, Simel DL, Wisner DH, Holmes JF. A patient education tool for non-operative management of blunt abdominal trauma. Or you may have further care in the ER.Budinger JM. This procedure is rarely used anymore since ultrasound and other imaging have become so good at finding internal bleeding.īased on the test results, you may be admitted to the hospital. This is to check fluid from your abdomen for signs of blood (internal bleeding). ![]() For this test, a needle and plastic tube (catheter) are put through the skin into your abdomen. It can also quickly find internal bleeding if it's there.ĭiagnostic peritoneal lavage (DPL). This uses radio waves to make images of the organs in your abdomen. ![]() This can show problems with bones, as well as with organs such as your kidneys, spleen, liver, and stomach. These use a computer and a special type of X-ray machine to give detailed pictures of the inside of your body. They are mostly used to look for broken bones and problems with your heart and lungs.ĬT scans. These imaging tests use radiation to take pictures of inside the body. You may also need to have 1 or more tests to find out the extent of your injuries. Otherwise you'll be watched closely for a time. Severe trauma may need surgery right away. You'll also be examined carefully for injuries. Your vital signs (temperature, breathing, blood pressure, and pulse) will be checked.
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