TY - CHAP M1 - Book, Section TI - Abdominal Trauma A1 - Emery, Matthew T. A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari Y1 - 2014 N1 - T2 - Clinical Emergency Medicine AB - A normal physical examination cannot be used as the sole means to exclude significant injury in patients with abdominal trauma.Hemodynamically unstable patients with penetrating injuries into the peritoneal cavity or blunt abdominal trauma and evidence of intraperitoneal hemorrhage require emergent laparotomy.Gunshot wounds that violate the peritoneum require operative exploration because of the high likelihood of injury.In patients with blunt abdominal trauma, negative computed tomograhy imaging has an excellent negative predictive value for excluding significant injury. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101228899 ER -