To aid initial diagnosis, investigation and management, abdominal trauma can be broadly grouped into penetrating or blunt, depending on the mechanism of injury. The presence of associated injuries, such as head injury with altered conscious level, spinal injury with neurological sequelae or adjacent chest or pelvic injuries, further complicates clinical evaluation. A high index of suspicion is constantly required to recognise occult injury. Serious intra-abdominal injuries may initially appear to be innocuous and localisation of symptoms is variable. The assessment of abdominal trauma is notoriously difficult. An understanding of the physiology of hypovolaemia and shock, and the body’s response to pain and injury.A good knowledge of the anatomy of the abdomen and the organ systems contained within.If you are working in a department where the most appropriate services are not available on site, it is crucial to start thinking early about how best to access those required.īefore commencing this session you should have: The imaging services, radiological interventions and surgical capabilities will vary between a regional trauma centre and a district general hospital. It is a good idea to be familiar with the trauma services available in your hospital. It should enable you to think ahead and try to predict what underlying intra-abdominal injuries a patient may have sustained. This session will give you a plan for the initial assessment and management of abdominal trauma. Author: Marie-Clare Harris / Editor: Marie-Clare Harris / Reviewer: Mehdi Teeli / Codes: C3AP1b, CAP1, CMP3, HAP1, HMP3 / Published:
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