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Old 05-22-2012
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Question blunt abdominal trauma

Hi all:

If today patients come in with unstable hemodynamic state plus acute abdomen sign, we go straight forward to exploratory laparotomy, right?

but is patients come in with only unstable hemodynamic state, then we need to do ultrasound first, right?

Thank you!
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Old 06-23-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all:

If today patients come in with unstable hemodynamic state plus acute abdomen sign, we go straight forward to exploratory laparotomy, right?

but is patients come in with only unstable hemodynamic state, then we need to do ultrasound first, right?

Thank you!
yes, u're right. blunt abdominal trauma and unstable+peritoneal signs= laparotomy first as there may be hollow/solid organ rupture

and blunt abdominal trauma and unstable(hypotension etc) has risk of internal bleeding going on and we do not know the source of bleeding(number 1 cause is spleen rupture followed by liver)= do FAST if unstable and CT if stable. and if nothing seen with FAST and patient still unstable do DPL. and after these imaging modalities next step is laparotomy.
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namita (06-28-2012)



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