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Blunt Abdominal Trauma

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The Trauma Golden Hour

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Abstract

Among the main causes of death by trauma is bleeding due to abdominal organ injuries. The spleen and the liver are the organs that are more severely affected in blunt trauma. Nowadays exploratory laparotomy is not the only possible treatment in trauma; it is now possible to consider conservative treatment as well. FAST, computed tomography, and diagnostic peritoneal lavage can be used. Remember that physical exam fails in 30% of conscious patients. Patients who do not respond to initial volume replacement are candidates to exploratory laparotomy. However, in those who present hemodynamic stability, there is a considerable variation of conduct.

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Author information

Authors and Affiliations

  1. Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of Parana, Curitiba, Brazil

    Denise Magalhães Machado

  2. Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of Parana, Curitiba, Brazil

    Eduardo Lopes Martins

  3. Telemedicine and Trauma Research, University of Miami, Ryder Trauma Center, Miami, FL, USA

    Mariana F. Jucá Moscardi

  4. William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of Surgery, Leonard M. Miller School of Medicine Miami, University of Miami, Miami, FL, USA

    Antonio Marttos

Authors
  1. Denise Magalhães Machado
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  2. Eduardo Lopes Martins
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  3. Mariana F. Jucá Moscardi
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  4. Antonio Marttos
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Editor information

Editors and Affiliations

  1. Federal University of Paraná, Curitiba, Paraná, Brazil

    Adonis Nasr

  2. Federal University of Paraná, Curitiba, Paraná, Brazil

    Flavio Saavedra Tomasich

  3. Federal University of Paraná, Curitiba, Paraná, Brazil

    Iwan Collaço

  4. Federal University of Parana, Hospital do Trabalhador, Curitiba, Paraná, Brazil

    Phillipe Abreu

  5. Ryder Trauma Center, Jackson Memorial Hospital, University of Miami, Miami, FL, USA

    Nicholas Namias

  6. Ryder Trauma Center, Jackson Memorial Hospital, University of Miami, Miami, FL, USA

    Antonio Marttos

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Machado, D.M., Martins, E.L., Jucá Moscardi, M.F., Marttos, A. (2020). Blunt Abdominal Trauma. In: Nasr, A., Saavedra Tomasich, F., Collaço, I., Abreu, P., Namias, N., Marttos, A. (eds) The Trauma Golden Hour. Springer, Cham. https://doi.org/10.1007/978-3-030-26443-7_22

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  • DOI: https://doi.org/10.1007/978-3-030-26443-7_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26442-0

  • Online ISBN: 978-3-030-26443-7

  • eBook Packages: MedicineMedicine (R0)

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