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Major Abdominal Trauma: Critical Decisions and New Frontiers in Management
Megan Brenner1, Christopher Hicks2
1Division of Trauma/Critical Care, RA Cowley Shock Trauma Center, 22 South Greene Street, T1R50, Baltimore, MD 21202, USA; Division of Vascular Surgery, University of Maryland School of Medicine, 22 South Greene Street, T1R50, Baltimore, MD 21202, USA.
Abstract:
A standardized approach should be used with a patient with abdominal trauma, including primary and secondary surveys, followed by additional diagnostic testing as indicated. Specific factors can make the diagnosis of serious abdominal trauma challenging, particularly in the face of multiple and severe injuries, unknown mechanism of injury, altered mental status, and impending or complete cardiac arrest. Advances in technology in diagnosis and/or treatment with ultrasound, helical computed tomography, and resuscitative endovascular balloon occlusion of the aorta (REBOA) have significantly advanced trauma care, and are still the focus of current and ongoing investigations.
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