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.
Blunt abdominal trauma Abdominal trauma Shock Trauma FAST Laparotomy
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