Management of blunt abdominal trauma in children.

Barbara V. Wise, Shawna Spears Mudd, Mary Ellen Wilson

Research output: Contribution to journalArticlepeer-review

Abstract

TOPIC: Over the last decade non-operative management of children with blunt abdominal trauma has been established as safe and efficacious. PURPOSE: This paper reviews the clinical management and resource utilization patterns in a pediatric trauma center in the mid-Atlantic region. It focuses on the following issues admission to the intensive care unit, safe interval for activity restriction, pre and post imaging with CT, rate of laparotomy and transfusion requirements of children with blunt abdominal trauma. Nursing care and medical management from the initial evaluation through discharge are discussed. SOURCES: Management of blunt abdominal injury in children was restructured using an algorithm suggested by the American Pediatric Surgical Association (APSA) trauma committee to coordinate care at a regional trauma center. CONCLUSIONS: Results indicated a decrease in LOS from 6 days to 4 days, and a 20% reduction in total costs.

Original languageEnglish (US)
Pages (from-to)6-14
Number of pages9
JournalJournal of trauma nursing : the official journal of the Society of Trauma Nurses
Volume9
Issue number1
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

ASJC Scopus subject areas

  • Emergency
  • Critical Care
  • Advanced and Specialized Nursing

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