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Emerg Med Clin North Am. 2018 Feb;36(1):149-160. doi: 10.1016/j.emc.2017.08.012.

Major Abdominal Trauma: Critical Decisions and New Frontiers in Management.

Author information

1
Division of Trauma/Critical Care, RA Cowley Shock Trauma Center, 22 South Greene Street, T1R50, Baltimore, MD 21202, USA; Division of Vascular Surgery, University of Maryland School of Medicine, 22 South Greene Street, T1R50, Baltimore, MD 21202, USA.
2
St. Michael's Hospital, University of Toronto, 30 Bond Street, 1st Floor Bond Wing Room 1008, Toronto M5B 1W8, Canada. Electronic address: chrismikehicks@gmail.com.

Abstract

A standardized approach should be used with a patient with abdominal trauma, including primary and secondary surveys, followed by additional diagnostic testing as indicated. Specific factors can make the diagnosis of serious abdominal trauma challenging, particularly in the face of multiple and severe injuries, unknown mechanism of injury, altered mental status, and impending or complete cardiac arrest. Advances in technology in diagnosis and/or treatment with ultrasound, helical computed tomography, and resuscitative endovascular balloon occlusion of the aorta (REBOA) have significantly advanced trauma care, and are still the focus of current and ongoing investigations.

KEYWORDS:

FAST; Focused abdominal sonogram for trauma; Major abdominal trauma; REBOA; Resuscitative endovascular balloon occlusion of the aorta

PMID:
29132574
DOI:
10.1016/j.emc.2017.08.012
[Indexed for MEDLINE]

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