RT Book, Section
A1 Emery, Matthew T.
A2 Sherman, Scott C.
A2 Weber, Joseph M.
A2 Schindlbeck, Michael A.
A2 Rahul G., Patwari
SR Print(0)
ID 1101228899
T1 Abdominal Trauma
T2 Clinical Emergency Medicine
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179460-2
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101228899
RD 2024/04/20
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.