Risk Management Pitfalls in Blunt Abdominal Trauma in Pediatric PatientsĬlinical Pathway for Management of the Pediatric Patient With Blunt Abdominal TraumaĪ negative abdominal examination and the absence of comorbid injuries do not completely rule out an intra-abdominal injury.Ī negative FAST examination is not sufficient to rule out the presence of an intra-abdominal injury, but a positive FAST examination should prompt an immediate abdominal CT scan in a hemodynamically stable patient. Risks of Computed Tomography in Pediatric Patientsĭetermining Which Patients Do Not Need Computed Tomography Physical Examination Findings Suggestive of Abdominal Injuryįocused Assessment With Sonography in Trauma The appropriate initial management of pediatric blunt trauma patients, including fluid resuscitation for hemodynamically unstable patientsĭiagnostic considerations and indications for operative versus nonoperative management of injuries to specific intra-abdominal organs, including splenic, liver, renal, pancreatic, gastrointestinal, and adrenal traumaĬommon Mechanisms of Injury in Blunt Abdominal Trauma How clinical prediction rules can be used to help determine which patients do not need to undergo CT scanning The applications and limitations of FAST in the evaluation of pediatric patients The role of diagnostic laboratory testing in assessing children with intra-abdominal injuries Why seat-belt sign is an important clinical finding in a child who was involved in a motor vehicle crash 
The most common mechanisms of traumatic intra-abdominal injury in children, including motor vehicle crashes, bicycle injuries, sports injuries, and nonaccidental trauma
This supplement provides evidence-based recommendations for the evaluation and management of blunt abdominal injuries in children, including injuries to specific organs. However, the use of diagnostic CT scanning must be weighed against the risks associated with exposure to ionizing radiation in pediatric patients. When a pediatric patient presents to the ED following blunt abdominal trauma, the abdominal examination may be unreliable due to the child’s age or developmental level, or due to an associated head injury a negative abdominal examination and the absence of comorbid injuries do not completely rule out an intra-abdominal injury in these patients. Children are more susceptible than adults to serious injury secondary to blunt abdominal trauma.
0 kommentar(er)
