Original contributionComputed tomography for blunt abdominal trauma in the ED: A prospective study☆
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Cited by (61)
Occult Abdominal Trauma
2021, Emergency Medicine Clinics of North AmericaCitation Excerpt :However, as previously discussed, those with altered mental status or those with concomitant distracting injuries can make the abdominal examination unreliable.23–25 Furthermore, patients with isolated blunt abdominal trauma may present without complaints of abdominal pain or findings of abdominal tenderness despite having an IAI, which makes diagnosis extremely difficult.5,24,26,27 As a result, multiple studies and clinical prediction rules have been proposed to ascertain which patients benefit from imaging.
Occult bowel injury after blunt abdominal trauma
2019, American Journal of SurgeryCitation Excerpt :Data were collected from institutional databases and by retrospective review of electronic medical records. Factors associated with intra-abdominal injury described by previous studies were assessed, including prior abdominal inflammation (documentation of an infectious or non-infectious inflammatory intra-abdominal process, e.g. diverticulitis, Crohn's disease, spontaneous bacterial peritonitis), prior abdominal surgery, low GCS, endotracheal intubation, hypotension, acidosis, anemia, focused assessment with sonography for trauma (FAST) exam findings, diagnostic peritoneal aspirate/lavage (DPA/DPL), and pelvic facture.12–19 Abdominal pain and tenderness were not considered in this analysis because the accuracy of this data on retrospective review cannot be assured.
A negative urinalysis is associated with a low likelihood of intra-abdominal injury after blunt abdominal trauma
2017, American Journal of SurgeryCitation Excerpt :Inclusion of microscopic hematuria on UA in these clinical prediction scores is inconsistent. The American College of Emergency Physicians currently recommends evaluation of UA results to identify patient who may not need CT after blunt abdominal trauma.14–17 In contrast, more recent studies have demonstrated that hematuria is not useful to identify injury and therefore UA should not be routinely performed in blunt trauma patients.8,9
Blunt Abdominal Trauma in Children: A Score to Predict the Absence of Organ Injury
2009, Journal of Pediatrics
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Presented at the 6th International Conference on Emergency Medicine, November 1996, Sydney, Australia.