Outcomes of pediatric blunt liver and spleen injury in 1029 patients using the ATOMAC+ pediatric trauma research network guideline
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Jul 2026 · 1 min read
In brief
In brief
Multi-center study of 1,029 pediatric patients with blunt liver and spleen injuries managed using ATOMAC+ protocol guidelines. Only 8.2% required surgical intervention, with children showing no initial bleeding signs remaining stable. Transfusion exceeding 40 mL/kg strongly predicted need for operative intervention.
Written by the GCMD Library team from the article.
The frequency of laparotomy or laparoscopy in children with BLSI was 8.2%. Children with no clinical signs of bleeding upon arrival did not later bleed, but 1.6% of these patients ultimately required abdominal surgery for other injuries. Transfusion >40 mL/kg was strongly associated with interven …
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