Management of Blunt Splenic Trauma

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Slide 1

Western Trauma Association Critical Decisions in Trauma: Management of Adult Blunt Splenic Trauma Volume 65(5), November 2008, pp 1007-1011

Slide 2

Hemodynamic Instability Score

Slide 3

Grade Injury Description American Association for the Surgery of Trauma Spleen Injury Scale

Slide 4

Initial Assessment of BAT ATLS Abdominal exam Response to resuscitation FAST × 2 CT Scan Angiography Stable (grade 0-2) Unstable (grade 3-5) Operating Room Unstable ↓ Splenectomy Stable ↓ Salvage Splenic Injury Other causes of instability? Observation DPL Stable (grade 3) Unstable Blush Other Injuries Failure (+) Unstable (-) (+) (-) Algorithm for management of blunt splenic trauma severe pelvic fracture massive hemothorax tension pneumothorax cardiac tamponade myocardial contusion air embolism neurogenic shock

Summary: Western Trauma Association Critical Decisions in Trauma: Management of Adult Blunt Splenic Trauma J.trauma. Volume 65(5), November 2008, pp 1007-1011

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