Related Experiment Video
Updated: Jul 12, 2025
07:18
Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
Published on: September 22, 2023
6.3K
Blunt abdominal trauma: watch and wait
Stefano Pb Cioffi1,2, Stefania Cimbanassi2,3, Osvaldo Chiara2,3
1Department of surgical science, Sapienza University of Rome, Rome.
Current Opinion in Critical Care
|October 20, 2023
Summary
Recent advancements in nonoperative management (NOM) allow more patients with blunt abdominal trauma to be observed first. Careful patient selection and monitoring are key to successful outcomes for solid organ injuries.
Area of Science:
- Trauma surgery
- Surgical innovation
- Patient management
Background:
- Nonoperative management (NOM) is increasingly utilized for hemodynamically stable blunt abdominal trauma.
- Expanding NOM criteria to include high-grade solid organ injuries is a key area of research.
Approach:
- Review of recent advancements in NOM strategies.
- Focus on patient selection for observation-first approaches.
- Evaluation of diagnostic and interventional angiography in NOM.
Key Points:
- Broader patient inclusion in diagnostic and interventional angiography is now possible.
- Strict clinical monitoring and follow-up are essential for early detection of complications.
- Contrast-enhanced CT (CECT) is valuable for high-risk injuries; its repetition may be avoided for lower-risk cases (e.g., some high-grade kidney injuries).
- Contrast-enhanced ultrasound (CEUS) shows potential for detecting NOM sequelae, with ongoing research.
Conclusions:
- Multidisciplinary teams are vital for successful NOM, especially in high-grade injuries.
- Careful patient selection is critical to minimize NOM failure rates.
- Management of complications should align with local expertise and available resources.
Related Concept Videos
01:26Flail Chest-II
184
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
184
01:25Assessment of the Abdomen I: Inspection and Auscultation
433
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
433
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
01:18Assessment of the Abdomen II: Percussion
363
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
363
01:23Assessment of the Abdomen III: Palpation
687
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
687
01:28Imaging Studies I: Kidney, Ureter, and Bladder Studies
11
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
11