Accepted at: May, 04, 2024 3:18 a.m.
Author: Sameem
Related Deck: 1659122273009
Accepted
Rationale for new note

New algorithm for blunt abdominal trauma as discussed in slack

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<img src="b9d02a5f99921bed397c0cda7b73a1ca.svg">
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Blunt abdominal trauma management algorithm
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<b>Blunt</b> abdominal <b>trauma</b> management algorithm
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- CT scan: detects abdominal fluid, solid organ injury, retroperitoneal hematomas

- FAST: detects hemoperitoneum [Note: FAST is done on stable patients in penetrating trauma]

- DPL: aspirate abdomen to see if you can get fecal material / blood which implies something blew up. DPL is only used for blunt, NOT penetrating abdominal trauma evaluation (penetrating trauma warrants immediate surgical laparotomy in this scenario)

- Contrast with penetrating abdominal trauma: If unstable then ex-lap




Last updated: April 27, 2024
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<br><img src="cad6733a3132da5a71f6bab69e0c535d.svg"><br><br><div><b>- CT scan:</b> detects abdominal fluid, solid organ injury, retroperitoneal hematomas</div><br><div><b>- FAST: </b>detects hemoperitoneum [<u><b>Note:</b></u> FAST is done on <u>stable</u> patients in penetrating trauma] </div><br><div><b>- DPL: </b>aspirate abdomen to see if you can get fecal material / blood which implies something blew up. <i>DPL is only used for <u style="">blunt</u>, NOT penetrating abdominal trauma evaluation (<u style="">penetrating</u> trauma warrants immediate <b style="">surgical laparotomy</b> in this scenario)</i></div><br><div>- Contrast with <u>penetrating abdominal trauma</u>: If unstable then ex-lap</div> <br><div><img src="2bd555aa6b6407b7d511f9909c63ad54.webp"><br></div><div><img src="15a4c3264767711e8c3f75f34c39f5f5.webp" width="716"><br></div><br><span style="font-size: 8pt;">Last updated: April 27, 2024</span>
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I0
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active
I0
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Tags
#AK_Other::Card_Features::Algorithm #AK_Step2_v12::#OME::06_Surgery::02_Trauma::05_Abdominal_Trauma #AK_Step2_v12::#OME_banner::Clinical::17_Surgery:_Trauma::05_Abdomen #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::trauma::abd #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::02_Blunt_Abdominal_Trauma_1_Presentation_and_Workup #AK_Step2_v12::#Subjects::Gastroenterology::13_Trauma::Blunt_Trauma #AK_Step2_v12::#UWorld::4500 #AK_Step2_v12::#UWorld::4930