Related Experiment Video
Updated: Jan 2, 2026
03:19
Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
2.0K
Kidney and uro-trauma: WSES-AAST guidelines
Federico Coccolini1, Ernest E Moore2, Yoram Kluger3
11General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia, 56124 Pisa, Italy.
World Journal of Emergency Surgery : WJES
|December 13, 2019
Summary
This paper presents guidelines for managing renal and urogenital trauma, emphasizing a multidisciplinary approach. It highlights non-operative management as the standard for pediatric patients to restore normal physiology.
Area of Science:
- Trauma Surgery
- Urology
- Emergency Medicine
Background:
- Renal and urogenital injuries affect 10-20% of abdominal trauma cases in adults and children.
- Optimal management requires considering injury anatomy, hemodynamic status, and associated injuries.
- Restoring homeostasis and normal physiology is key, particularly in pediatric cases.
Purpose of the Study:
- To present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) guidelines for kidney and urogenital trauma.
- To provide a framework for optimal management of these injuries.
Main Methods:
- Guidelines development based on expert consensus and existing literature.
- Multidisciplinary approach involving urologists, interventional radiologists, trauma surgeons, and critical care physicians.
- Consideration of patient factors including age and hemodynamic stability.
Main Results:
- Guidelines address the comprehensive management of renal and urogenital trauma.
- Emphasis on tailored treatment strategies based on injury severity and patient condition.
- Non-operative management is the gold standard for pediatric urogenital trauma.
Conclusions:
- Effective management of renal and urogenital trauma necessitates a multidisciplinary, evidence-based approach.
- Adherence to WSES/AAST guidelines can optimize patient outcomes.
- Restoration of normal function, especially in pediatric populations, is a primary goal.
Related Concept Videos
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
222
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
222
01:20Acute Kidney Injury V: Interprofessional Care
238
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...
238
01:22Acute Kidney Injury VI: Nursing Management
319
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...
319
01:25Urinary Tract Calculi VI: Surgical Management
294
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
294
01:22Acute Kidney Injury I: Introduction
469
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
469
01:24Imaging Studies II: Ultrasonography
278
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
278