Nonoperative management of splenic lacerations has become the standard of care in hemodynamically stable patients. The decision to manage a patient nonoperatively is much more difficult when the patient has a known bleeding disorder. There are a few case reports in the literature describing non...
For the patient who presents with hemorrhagic shock and ultrasound evidence of major hemoperitoneum, urgent “damage control” laparotomy is essential; if splenic injury is the cause, prompt “hemostatic” splenectomy should be performed. Direct pancreatic injury is rarely the cause of major hemorrhage...
A didactic lecture, medical simulation, and simulation debriefing occurred for maternal cardiac arrest following magnesium toxicity, maternal pulmonary embolism, splenic laceration caused by intimate partner violence, and placental abruption. Pre and post individual knowledge tests (KT) and confide...
The 2023 WSES geriatric trauma guidelines are the result of an extensive review of the literature and a validation by a consensus of experts in the field. The statements and recommendations provided in this work do not represent a standard of practice but a suggested plan of care, based on th...
Despite a widespread shift to selective non-operative management (SNOM) for blunt splenic trauma, there remains uncertainty regarding the role of adjuncts such as interventional radiological techniques, the need for follow-up imaging, and the incidence of long-term complications. We evaluated the succe...
[113]. Rib fractures are also a potential sentinel injury associated with more severe trauma, including cardiac and aortic, pneumothorax, pulmonary contusion and laceration, as well as liver and splenic trauma. Similarly, clavicular and first rib fractures are sentinel injuries for severe thoracic ...
Intravenous administration minimizes risk of elevated white blood cell counts and potential splenic rupture when compared to subcutaneous administration. Patients receiving 10 mcg/kg/day doses observed higher American Spinal Injury Association Impairment Scale (AIS) motor scores; however, this finding was ...
Preemptive early antimicrobial therapy for 3–5 days is recommended for patients who (a) are immunocompromised; (b) are asplenic; (c) have advanced liver disease; (d) have preex- isting or resultant edema of the affected area; (e) have moderate to severe injuries,...
Non-operative management of a splenic laceration in a patient with the Proteus syndrome[J].Journal of Accident and Emergency Medicine 1997,14.Ceelen W, De Waele J, Kunnen M, de Hemptinne B (1997): Non-operative management of a splenic laceration in a patient with the Proteus syn- drome....
table 1. grading of splenic injury according to the american association for the surgery of trauma organ injury scale gradea description i subcapsular hematoma, 10% of surface area; laceration, 1 cm parenchymal depth ii subcapsular hematoma, 10%-50% of surface area, 5 cm in diameter; ...