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Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm
Alexis M Moren1, Walter L Biffl, Chad G Ball
1From the Salem Health Hospital (A.M.M.), Salem, Oregon; Oregon Health & Science University (A.M.M.), Portland, Oregon; Scripps Memorial Hospital La Jolla (W.L.B.), La Jolla, California; University of Calgary (C.G.B.), Calgary, Canada; Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Oregon Health Science University (K.J.B.), Portland, Oregon; Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; University of Southern California (K.I.), Los Angeles, California; Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Ernest E Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Scripps Mercy Hospital (K.A.P.), San Diego, California; Guthrie Health System (A.G.R.), Sayre, Pennsylvania; Children's Hospital (N.G.R.), Cincinnati, Ohio; University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; Riverside University Health System Medical Center (R.S.C.), Riverside, California; University of California (D.V.S.), Davis, Sacramento, California; and Keck School of Medicine (M.J.M.), Los Angeles, California.
Background:
The Western Trauma Association (WTA) has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations, or scarcity of experience and cases. Blunt pancreatic trauma falls under one of these clinically complex and rare scenarios. This algorithm is the result of an extensive literature review and input from the WTA membership and WTA Algorithm Committee members.
Methods:
Multiple evidence-based guideline reviews, case reports, and expert opinion were compiled and reviewed.
Results:
The algorithm is attached with detailed explanation of each step, supported by data if available.
Conclusion:
Blunt pancreatic trauma is rare and presents many treatment challenges.
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