Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same authorSame journal

Twenty Minutes of Transport Time as a Threshold for Minimizing Scene Time in Firearm Injury.

The American surgeon·2026
Same author

Prehospital Resuscitation with Type O Whole Blood for Trauma and Hemorrhage.

The New England journal of medicine·2026
Same author

Invited Commentary: Does Chronic Immunosuppression Have a Negative Impact on Patients Who Require Emergency General Surgery?

Journal of the American College of Surgeons·2026
Same author

Variability in the Management of Antibiotic Prophylaxis for Patients with Asplenia.

The Journal of pediatrics·2026
Same author

A Case Study of AI-Enabled Software as a Medical Device Cleared by the FDA for Assessing Hemorrhage Risk Index (APPRAISE-HRI) after Trauma.

NEJM AI·2026
Same author

The Current State of Acute Care Surgery Workforce and Practice Models: A Joint Statement by the American Association for the Surgery of Trauma, the American College of Surgeons Committee on Trauma, the Eastern Association for the Surgery of Trauma, and the Western Trauma Association.

Journal of the American College of Surgeons·2026

Related Experiment Video

Updated: Jun 20, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Management differences for pediatric solid organ injuries in a rural state.

Brian G Harbrecht1, Glen A Franklin, Jason W Smith

  • 1Department of Surgery, University of Louisville, Louisville, Kentucky, USA. briang.harbrecht@louisville.edu

The American Surgeon
|September 4, 2009
PubMed
Summary

Pediatric liver and spleen injuries are managed similarly in trauma and nontrauma centers regarding mortality. However, trauma centers treat fewer isolated solid organ injuries in children.

More Related Videos

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Maintenance of a Lateral Fluid Percussion Injury Device
05:16

Maintenance of a Lateral Fluid Percussion Injury Device

Published on: April 21, 2023

Related Experiment Videos

Last Updated: Jun 20, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Maintenance of a Lateral Fluid Percussion Injury Device
05:16

Maintenance of a Lateral Fluid Percussion Injury Device

Published on: April 21, 2023

Area of Science:

  • Pediatric Surgery
  • Trauma Care
  • Abdominal Trauma

Background:

  • Pediatric liver and spleen injuries require specialized care, often in referral centers.
  • Management patterns may differ between trauma and nontrauma centers, especially in areas lacking a state trauma system.
  • Understanding these differences is crucial for optimizing care for injured children.

Purpose of the Study:

  • To compare the management of pediatric liver and spleen injuries between trauma and nontrauma centers in a rural state.
  • To assess differences in injury patterns, treatment approaches, and outcomes.
  • To evaluate the impact of center type on isolated solid organ injuries.

Main Methods:

  • Retrospective review of a state database for pediatric patients (<= 15 years) with liver and spleen injuries (2003-2005).
  • Exclusion of iatrogenic injuries.
  • Comparison of injury characteristics, nonoperative management rates, mortality, and hospital charges between trauma and nontrauma centers.

Main Results:

  • Nontrauma centers managed a higher proportion of isolated liver (50%) and spleen (63%) injuries compared to trauma centers (18% and 36%, respectively).
  • Mortality rates for both liver and spleen injuries were similar across center types.
  • Nonoperative management rates were comparable for liver injuries, but lower for splenic injuries in nontrauma centers (75% vs. 90% in trauma centers).
  • Higher hospital charges in trauma centers were attributed to associated injuries.

Conclusions:

  • Pediatric solid organ injuries are predominantly managed nonoperatively in both trauma and nontrauma centers within this rural state.
  • Trauma centers manage fewer isolated pediatric liver and spleen injuries compared to nontrauma centers.
  • Despite differences in injury patterns, outcomes like mortality are similar, suggesting effective nonoperative management in both settings.