Blunt abdominal trauma

This paper describes the assessment, investigation and management of patients suffering blunt abdominal trauma. Many of the structures within the abdominal cavity are highly vascular and damage following trauma can lead to life-threatening hypovolaemia. Initial assessment of the patient must follow the usual trauma protocols with identification and management of life-threatening conditions; specific procedures related to the abdomen are described. Although formal examination of the patient has traditionally been a medical responsibility, nurses are assuming more responsibility by working in triage or as nurse practitioners. Nurses working both in triage and within the Accident and Emergency department must be able to rapidly assess these patients and assist in their management.