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    Abdominal Trauma

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    Saeed Mohammadi
    1) The document provides guidelines for evaluating and treating patients with abdominal trauma based on the type of injury (blunt vs penetrating), location of injury, and patient hemodynamics. 2) For stable patients with blunt trauma, further imaging or observation is recommended depending on initial exam findings while unstable patients proceed directly to laparotomy. 3) For penetrating trauma, management depends on the location and trajectory of the wound, with laparotomy or other procedures recommended as indicated by diagnostic tests for stable patients and laparotomy for unstable patients.

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    Abdominal Trauma

    Uploaded by

    Saeed Mohammadi
    13 views1 page
    1) The document provides guidelines for evaluating and treating patients with abdominal trauma based on the type of injury (blunt vs penetrating), location of injury, and patient hemodynamics. 2) For stable patients with blunt trauma, further imaging or observation is recommended depending on initial exam findings while unstable patients proceed directly to laparotomy. 3) For penetrating trauma, management depends on the location and trajectory of the wound, with laparotomy or other procedures recommended as indicated by diagnostic tests for stable patients and laparotomy for unstable patients.

    Original Description:

    An algorithm for abdominal trauma

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    1) The document provides guidelines for evaluating and treating patients with abdominal trauma based on the type of injury (blunt vs penetrating), location of injury, and patient hemodynamics. 2) For stable patients with blunt trauma, further imaging or observation is recommended depending on initial exam findings while unstable patients proceed directly to laparotomy. 3) For penetrating trauma, management depends on the location and trajectory of the wound, with laparotomy or other procedures recommended as indicated by diagnostic tests for stable patients and laparotomy for unstable patients.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views1 page

    Abdominal Trauma

    Uploaded by

    Saeed Mohammadi
    1) The document provides guidelines for evaluating and treating patients with abdominal trauma based on the type of injury (blunt vs penetrating), location of injury, and patient hemodynamics. 2) For stable patients with blunt trauma, further imaging or observation is recommended depending on initial exam findings while unstable patients proceed directly to laparotomy. 3) For penetrating trauma, management depends on the location and trajectory of the wound, with laparotomy or other procedures recommended as indicated by diagnostic tests for stable patients and laparotomy for unstable patients.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Peritonitis Laparotomy Solid Organ Injury Observation

    Positive FAST CT Scan Hollow Organ Injury Laparotomy

    Stable
    Hemodynamics
    Clinical Doubt No Injury No Further Workup

    Negative FAST

    Blunt Reliable Exams No Further Workup

    Positive FAST Laparotomy

    Unstable
    Hemodynamics
    Positive DPL

    Negative FAST

    Negative DPL Observation

    Anterior Abdomen
    Abdominal Trauma Laparotomy
    Except RUQ

    RUQ

    Gunshot Wound CT Scan

    Tangential / Back /
    Flank

    Positive Laparotomy

    Stable
    Back / Flank CT Scan
    Hemodynamics

    Stab Wound Negative Observation

    Cut Fascia in
    DPL / CT
    Exploration

    Anterior Abdomen
    Penetrating
    Uncut Fascia Observation

    Positive Laparotomy

    Left
    DPL / Laparoscopy
    Either Gunshot or Stab Wound Thoracoabdominal

    Thoracoscopy for
    Negative
    the Diaphragm

    Unstable
    Laparotomy
    Hemodynamics

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