Plain radiographs are of limited value in the evaluation of abdominal trauma. Mesenteric tears and isolated small bowel injuries can also occur. Treatment These patients are initially resuscitated and then the Blunt abdominal trauma involves compression, crushing, or deceleration forces being exerted on the abdominal cavity ; Key: prompt detection of intra-abdominal hemorrhage Paydar S, Fazelzadeh A, Abbasi H, Bolandparvaz S. Base deficit: a better indicator for diagnosis and treatment of shock in trauma patients. Abdominal trauma is, traditionally, described as either blunt or penetrating trauma and the organs and structures injured may vary depending on both the type and location of the trauma. Abdominal trauma remains a leading cause of mortality in all age groups. Abdominal ultrasonography (USG) was applied in 139 (97%) of the patients, and abdominal computed tomography (CT) was performed in 73 (51%). Continuous monitoring and follow- up is essential to bring them back to a normal life. Intra-abdominal injuries secondary to blunt force are attributed to collisions between the injured person and the external environment and to acceleration or deceleration forces acting on the 138,139 Whereas 80% to 90% of injuries were treated operatively in Blunt Abdominal Trauma Review. In immediate trauma care aim for a blood pressure greater than 90 mmHg systolic or a shock index less than 1 (HR/SBP). The assessment and treatment of children with specific injuries to the spleen, liver, pancreas, gastrointestinal tract or genitourinary tract are discussed separately. Treatment. Biliary leakage and/or biloma Complications Hepatic injury can result from blunt or penetrating trauma. All patients with blunt abdominal trauma who have signs of peritonitis, frank bleeding, or worsening of clinical signs require an immediate laparotomy. Non-surgical treatment in patients with blunt abdominal injury depends on the clinical features, hemodynamic stability and results of the CT scan. If access Treatment. Early diagnosis and treatment is an important but difficult task. Abdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children. Blunt abdominal injury (BAI) is common and usually results from motor vehicle collisions (MVC), falls and Nonoperative management of blunt abdominal trauma has been very successful regarding splenic ruptures. Isolated abdominal injuries without hemodynamic or coagulation disorders allow conservative treatment in the intensive care setting. Plain abdominal films are helpful in identifying the presence or location of an intra-abdominal foreign body. Many serious abdominal injuries may appear insignificant, making it extremely difficult Abstract. Management of blunt abdominal trauma has undergone a complete paradigm shift in the past two decades. Management may involve nonoperative measures or surgical treatment, as appropriate. Indications for laparotomy in a patient with blunt abdominal injury include the following: Hemoperitoneum findings after focused assessment with sonography for trauma (FAST) or diagnostic peritoneal lavage (DPL) examinations Blunt abdominal trauma patients with suspected/proven HMVI diagnosed clinically/radiologically were included in this study. Blunt abdominal trauma is much more frequent than penetrating abdominal trauma in Europe. The first step in therapy is to stabilise the patient enough to assure proper Blunt abdominal injury (BAI) is common and usually results from motor vehicle collisions (MVC), falls and In: StatPearls [Internet]. Acetaminophen with or without small quantities of mild narcotic analgesics may be all that should be prescribed initially. Isolated abdominal trauma was seen in 21 patients and multisystem trauma in 123 patients. Abdominal trauma requires immediate medical attention and, in some cases, hospitalisation. For blunt trauma injuries, the liver is the most commonly affected, followed by the spleen. Isolated abdominal trauma was seen in 21 patients and multisystem trauma in 123 patients. Blunt Force Trauma. Blunt abdominal trauma treatment in Chennai ought to be approached with multiple medical assistance. Which organ is most commonly injured in blunt abdominal trauma? Nonoperative management of blunt abdominal trauma has been very successful Many serious abdominal injuries may appear insignificant, making it extremely difficult to predict severity. Blunt trauma to the abdomen can occur in people of all ages and is associated with a high morbidity. Each year thousands of patients with blunt abdominal injury are seen in emergency departments, and this substantially increases the cost of healthcare. [5][6] Pathophysiology the liver and spleen, followed by bowel and mesentery [].Missed intra-abdominal injuries and delays in surgical treatment are associated Penetrating and blunt trauma to the abdomen can produce significant and life-threatening injuries. The most frequent associated trauma was head injury (66.6%). Blunt force trauma occurs when a strong force hits the body (in The spleen, liver, small bowel, colorectum, diaphragm, and pancreas are mostly affected in blunt abdominal trauma. At laparotomy 36 hours after admission, a jejunal rupture and necrosis of the transverse colon were found. Definitive surgical treatment follows hemodynamic stabilization and restoration of hemostasis. Ice may also help prevent tissue damage. Prognosis depends on age, associated injuries, co-morbid conditions, and delay in operative intervention. Conservative management of hepatic injuries is more hazardous, and treatment of pancreatic injuries is a matter of controversy. Penetrating and blunt trauma to the abdomen can produce significant and life-threatening injuries. A high degree of suspicion and watchfulness, regular examination, imaging, and investigations are needed to diagnose blunt abdominal injury. Use an ice pack, or put crushed ice in Limit activity as Blunt abdominal trauma is the leading type of traumatic injury in pregnancy, with motor vehicle crashes, falls, and assault being the most common etiologies. Blunt abdominal trauma is a common injury that is most frequently caused by motor vehicle accidents and rarely by other mechanisms of injury. J Trauma. Abdominal trauma remains a leading cause of mortality in all age groups. Treatment. The most frequent associated trauma was head injury (66.6%). Nonoperative management of blunt abdominal trauma has been very successful regarding splenic ruptures. The standard diagnostic technique in blunt abdominal trauma is sonography, assisted by computed tomography and, if indicated, angiography in hemodynamically stable patients. Minimize use of analgesics in patients who are Apply ice to decrease swelling and pain. Insert x 2 large bore peripheral IV cannulas. The liver, as the largest organ, is more liable to injury. Abdominal CT scan and small bowel transit may allow the diagnosis of blunt trauma but exploratory laparotomy is the examination of choice in case of strong suspicion of duodenal injury in the face of absent or equivocal radiological signs [7]. Treatment. 2011 Jun;70(6):1580-1; The common solid organs involved in blunt abdominal trauma are the spleen, liver, and kidney. Blunt abdominal trauma (BAT) represents 75% of all blunt trauma and is the most common example of this injury. As a consequence of improved quality of computed tomography, even complex liver injuries are increasingly being treated conservatively. Ensuring effective protocols for prehospital and hospital treatment, as well as thorough training of involved health care providers, is essential in ensuring that optimal care is provided. In order to study the specific effects of blunt abdominal trauma on individual organs, injury models for each organ have been used. Such models include those of isolated splenic injuries, isolated hepatic injuries, isolated hollow viscus injuries, renal injuries, and so forth. How can I manage my symptoms? Treatment of blunt abdominal trauma begins at the scene of the injury and is continued upon the patients arrival at the emergency department (ED) or trauma center. The most common intra-abdominal injuries affect parenchymal organs, i.e. Conservative management of hepatic injuries is more hazardous, and treatment of pancreatic injuries is a matter of controversy. The non-operative management of splenic injuries in blunt abdominal trauma has been markedly improved by angioembolisation. The evaluation of children with blunt abdominal trauma will be reviewed here. There are two main types of acute abdominal trauma: blunt force trauma and penetrating trauma. The close proximity of organs within the torso makes distinguishing between abdomen, chest and pelvic injuries difficult. Abdominal ultrasonography (USG) Through the network of trauma specialists, we are able to render efficient medical support to the patient. Blunt abdominal trauma is a frequent occurrence in the setting of emergency trauma management as a result of high-energy impact due to either automotive accidents or falls. A With proper treatment, most people recover completely. Patients have abdominal pain, sometimes radiating to the shoulder, and tenderness.
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