Abdomen

Abdomen

Intraperitoneal air mandates a laparoscopy or laparotomy . Penetrating wounds that have not entered the abdominal cavity should be cleaned and closed. The spleen and liver account for 70% of all visceral injuries caused by blunt trauma. In the haemodynamically stable child, most solid organ injuries can be managed without an operation, but if unstable despite appropriate transfusion, or only transiently responding, inter ventional radiology and embolisation or a laparotomy should be considered. Recurrent instability may reflect an inadequate initial resuscitation, and the need for a second transfusion does not mandate an operation. Following an abdominal solid organ injury , bed rest is advised until pain free, with mobilisation after a minimum of 1 night for grade I and II injuries and after a minimum of 2 nights for grade >III injuries . High-impact activities and contact sports should be limited for grade IV and V injuries for 6 /uni00A0 weeks. However, delayed haemorrhage can arise spon taneously several days after an injury and is thought to occur in a hyperosmolar setting when a haematoma breaks down. Discharged patients need to know to return to the hospital if unwell. Abdomen

Intraperitoneal air mandates a laparoscopy or laparotomy . Penetrating wounds that have not entered the abdominal cavity should be cleaned and closed. The spleen and liver account for 70% of all visceral injuries caused by blunt trauma. In the haemodynamically stable child, most solid organ injuries can be managed without an operation, but if unstable despite appropriate transfusion, or only transiently responding, inter ventional radiology and embolisation or a laparotomy should be considered. Recurrent instability may reflect an inadequate initial resuscitation, and the need for a second transfusion does not mandate an operation. Following an abdominal solid organ injury , bed rest is advised until pain free, with mobilisation after a minimum of 1 night for grade I and II injuries and after a minimum of 2 nights for grade >III injuries . High-impact activities and contact sports should be limited for grade IV and V injuries for 6 /uni00A0 weeks. However, delayed haemorrhage can arise spon taneously several days after an injury and is thought to occur in a hyperosmolar setting when a haematoma breaks down. Discharged patients need to know to return to the hospital if unwell. Abdomen

Intraperitoneal air mandates a laparoscopy or laparotomy . Penetrating wounds that have not entered the abdominal cavity should be cleaned and closed. The spleen and liver account for 70% of all visceral injuries caused by blunt trauma. In the haemodynamically stable child, most solid organ injuries can be managed without an operation, but if unstable despite appropriate transfusion, or only transiently responding, inter ventional radiology and embolisation or a laparotomy should be considered. Recurrent instability may reflect an inadequate initial resuscitation, and the need for a second transfusion does not mandate an operation. Following an abdominal solid organ injury , bed rest is advised until pain free, with mobilisation after a minimum of 1 night for grade I and II injuries and after a minimum of 2 nights for grade >III injuries . High-impact activities and contact sports should be limited for grade IV and V injuries for 6 /uni00A0 weeks. However, delayed haemorrhage can arise spon taneously several days after an injury and is thought to occur in a hyperosmolar setting when a haematoma breaks down. Discharged patients need to know to return to the hospital if unwell.