Premium
Blunt abdominal trauma in children
Author(s) -
Rance CH,
Singh SJ,
Kimble R
Publication year - 2000
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1046/j.1440-1754.2000.00449.x
Subject(s) - medicine , abdominal trauma , blunt , resuscitation , computed tomography , focused assessment with sonography for trauma , general surgery , blunt trauma , physical examination , surgery , radiology
: Blunt abdominal trauma is the commonest cause of intra‐abdominal injuries in children. The use of computerized axial tomography and non‐operative management of haemoperitoneum are two significant developments in the last two decades in the management of blunt abdominal trauma in children. The concept of non‐operative management was introduced in late 1979 and wherever possible remains the optimum treatment. Computerized tomography scan for paediatric abdominal trauma was first described in 1980 and remains the investigation of choice. There is no substitute, however, for a good history, astute physical examination, and strict adherence to the principles of primary and secondary survey, prompt resuscitation, vigilant monitoring and repeated evaluation.