The Effect of Clinical, Labaratory and Radiologic Results of the Patients Admitted To The Emergency Department With Blunt Abdominal Trauma Due To Traffic Accident On The Treatment Decision and Surgical Results

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. So we evaluate the spectrum and outcome of blunt trauma. Methods: Hospital based prospective study conducted on 100 patients at department of general surgery. Results: Distribution according to type of injury consisted of maximum cases, 84 (84%) of road traffic accidents, 11% cases were of fall from height. Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt abdominal trauma, Liver injury, Perforation, Splenic injury

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Clinical Policy: Critical Issues in the Evaluation of Adult Patients Presenting to the Emergency Department With Acute Blunt Abdominal Trauma

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2011.01.013 ◽

2011 ◽

Vol 57 (4) ◽

pp. 387-404 ◽

Cited By ~ 29

Author(s):

Deborah B. Diercks ◽

Abhishek Mehrotra ◽

Devorah J. Nazarian ◽

Susan B. Promes ◽

Wyatt W. Decker ◽

...

Keyword(s):

Emergency Department ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Adult Patients ◽

Critical Issues

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Bedside emergency department ultrasonography availability and use for blunt abdominal trauma in Canadian pediatric centres

CJEM ◽

10.2310/8000.2011.110475 ◽

2012 ◽

Vol 14 (01) ◽

pp. 14-19 ◽

Cited By ~ 3

Author(s):

Robin Cardamore ◽

Joe Nemeth ◽

Christine Meyers

Keyword(s):

Emergency Department ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Positive Impact ◽

Pediatric Trauma ◽

Great Majority ◽

Pediatric Emergency ◽

Perceived Barriers ◽

Emergency Physicians ◽

The Future

ABSTRACT Objectives: To quantify the current availability and use of bedside emergency department ultrasonography (EDUS) for blunt trauma at Canadian pediatric centres and to identify any perceived barriers to the use of bedside EDUS in such centres. Methods: An electronic survey was sent to 162 pediatric emergency physicians and 12 site directors from the 12 pediatric emergency departments across Canada. Results: Ninety-two percent (11 of 12) of centres completed the survey. The individual physician response rate was 65% (106 of 162), with 100% of site directors responding. Ultrasound machines were available in 45% (5 of 11) of centres. Forty-two percent (32 of 77) of emergency physicians working in equipped pediatric centres used bedside EDUS to evaluate blunt abdominal trauma (BAT). In the subgroup of staff who also worked at adults sites, the frequency of ultrasonography use for the evaluation of pediatric BAT was 75%. In the 55% (6 of 11) of centres without ultrasonography, 88% of staff intend to incorporate its use in the future and 81% indicated that they believed the incorporation of ultrasonography would have a positive impact on patient care. The main perceived barriers to the use of ultrasonography in the evaluation of BAT were a lack of training (41%) and a lack of equipment (26%). Conclusion: Bedside EDUS is currently used in almost half of pediatric trauma centres, a frequency that is significantly lower than adult centres. Physicians in pediatric centres who use ultrasonography report that it has a high utility, and a great majority of physicians at pediatric centres without EDUS plan to incorporate it in the future. The main reported barriers to its use are a lack of training and a lack of equipment availability.

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