An observation-first strategy for liver injuries with "blush" on computed tomography is safe and effective

Jason M Samuels¹, Heather Carmichael, Robert McIntyre+43

• ¹From the Department of Surgery University of Colorado School of Medicine and Department of Trauma Service, University of Colorado Hospital, Anschutz Medical Campus (J.M.S., H.C., R.M.J., S.U., C.V.), Aurora, CO; Department of Surgery, UCSF-Fresno (S.B., R.C.D.), Fresno, CA; Trauma, Critical Care and Acute Care Surgery, Grant Medical Center (M.C.S., A.L.R.), Columbus, OH; Department of Surgery, University of California, San Francisco (M.S.F.), San Francisco, CA; Departments of Emergency Medicine and Surgery, Program in Trauma, R Adams Cowley Shock Trauma Center (D.M.S., D.J.H., H.A.), University of Maryland School of Medicine, Baltimore, MD; Graduate Medical Education, Methodist Dallas Medical Center (M.S.T., H.M.G.V.), Dallas, TX; Division of Trauma, Acute Care Surgery and Surgical Critical Care, Department of Surgery, Spartanburg Regional Medical Center (C.J.M., T.J.M.), Spartanburg, SC; Department of Surgery, University of Calgary (C.G.B.), Calgary, Alberta; Division of Acute Care Surgery, Loma Linda University Medical Center (K.M., G.M.), Loma Linda, CA; Department of Surgery (H.A.), University of Maryland School of Medicine, Baltimore MD; Department of Trauma and Acute Care Surgery, UCHealth Memorial Hospital (T.J.S., J.R.), Colorado Springs, CO; Department of Surgery, University of California Irvine (J.N., E.T.), Orange, California; Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem (M.B.), Jerusalem, Israel; Division of Trauma, Acute Care Surgery and Surgical Critical Care, Banner-University Medical Center Phoenix (N.K., M.C.), Phoenix, AZ; Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center (N.K.D., E.J.L.), Los Angeles, CA; Department of Surgery, Cooper University Hospital (T.E., J.W.), Camden, NJ; Department of Surgery and Perioperative Care, Dell Medical School (T.C.P.C., V.E.), University of Texas at Austin, Austin, TX; Department of Surgery, Division of Trauma Acute Care Surgery, Banner Thunderbird Medical Center (K.P., K.C.), Glendale, AZ; Division of Trauma and Surgical Critical Care, Department of Surgery (S.B., F.S.E.), Rutgers New Jersey Medical School, Newark, NJ; Department of Trauma and Acute Care Surgery, Medical Center of the Rockies (W.D., C.P.), Loveland, CO; Department of Surgery, Denver Health Medical Center (N.L.W.), Denver, CO; Department of Trauma, Ascension Via Christi Saint Francis (J.M.H., K.L.), Wichita, KS; Department of Surgery, Miami Valley Hospital (G.S.), Wright State University, Dayton, OH; Department of Surgery, Prisma Health-Upstate (K.S.), Greenville, SC; and Department of Surgery, Boulder Community Hospital (L.A.H.), Boulder, CO.