Emergency department evaluation and management of blunt abdominal trauma in children

Walter J Eppich*, Mark R. Zonfrillo

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

27 Scopus citations

Abstract

PURPOSE OF REVIEW: To discuss the emergency department evaluation and management of children with blunt abdominal trauma. The review will focus on both the clinical data that can help reduce the use of computed tomography in the evaluation of patients with blunt abdominal trauma and the evidence for the increased use of nonoperative management of patients with blunt abdominal trauma. RECENT FINDINGS: We will examine the recent literature focusing on the utility of physical examination, laboratory data and imaging (both ultrasonography and computed tomography) in detecting intraabdominal injury. SUMMARY: Recent research suggests that physical examination in combination with bedside ultrasonography may identify children at risk for intraabdominal injury. Screening laboratory data appears to be less sensitive to detect these injuries, but is useful in selected patients. Nonoperative management is appropriate in a majority of cases. Further research is needed to determine which low-risk patients with abdominal trauma can be managed with minimal or no exposure to radiation in the computed tomography scanner.

Original languageEnglish (US)
Pages (from-to)265-269
Number of pages5
JournalCurrent opinion in pediatrics
Volume19
Issue number3
DOIs
StatePublished - Jun 1 2007

Keywords

  • Blunt abdominal trauma
  • Computed tomography
  • Focused abdominal sonography for trauma
  • Physical examination

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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