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51 - Solid Organ Abdominal Trauma

from Section 11 - Trauma

Published online by Cambridge University Press:  02 November 2023

By
Jayaram Chelluri
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

  • Injuries are generally classified based on mechanism as either blunt or penetrating. Each has a different method of evaluation and treatment.

  • In blunt injuries, solid organs are commonly injured with acceleration/deceleration injuries (i.e., motor vehicle collisions [MVC], falls from height) and crush injuries. Blunt injuries are associated with greater mortality than penetrating ones. The spleen is the most commonly injured solid organ, followed by the liver.

  • A stab wound, one such penetrating injury, is less likely to cause intra-abdominal injury and penetrate the peritoneum requiring surgical intervention when compared with projectile wounds.

Keywords

blunt traumapenetrating traumaabdominal painFAST exammassive transfusionoperative repair
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 552 - 560
Publisher: Cambridge University Press
Print publication year: 2023

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References

American Association for the Surgery of Trauma. Trauma Source: Injury scoring scale. Chicago, IL: American Association for the Surgery of Trauma, 2013. Available from: www.aast.org/resources-detail/injury-scoring-scale Cannon, JW, Khan, MA, Raja, AS, et al. Damage control resuscitation in patients with severe traumatic hemorrhage. J Trauma 2017;82(3):605–617.Google Scholar
Owattanapanich, N, Chittawatanarat, K, Benyakorn, T, et al. Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis. Scand J Trauma Resusc Emerg Med 2018;26(1):107. (Meta-analysis; 30 studies)Google Scholar
Stassen, NA, Indermeet, B, Cheng, JD, et al. Selective non operative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. Trauma Acute Care Surg 2012;73:S294–300.Google ScholarPubMed

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