Blunt Abdominal Trauma Evaluation
Guideline · Oct 2018 · 1 min read
In brief
In brief
Clinical guideline for evaluating suspected blunt abdominal injuries in pediatric trauma patients at CCHMC. Establishes minimum care standards and criteria for identifying very low-risk children who can safely avoid abdominal CT imaging, reducing unnecessary radiation exposure.
- Establishes minimum care standards for evaluating suspected blunt abdominal injuries in pediatric trauma patients at CCHMC.
- Uses validated criteria to identify very low-risk children who can safely avoid abdominal CT imaging, reducing radiation exposure.
- Algorithm-based approach standardizes clinical decision-making for blunt abdominal trauma across the trauma service.
- Based on multi-institutional research identifying children at minimal risk for intra-abdominal injury requiring intervention.
Written by the GCMD Library team from the guideline.
1.0 SCOPE
- Care of the Trauma Services Patient at CCHMC.
- This guideline provides the minimum standard of care for any patient with a suspected blunt abdominal injury.
2.0 DEFINITIONS
- Blunt abdominal trauma (BAT): Physical trauma to the abdomen by either impact or injury
3.0 GUIDELINE
- See algorithm
4.0 REFERENCES
- Streck, C. J., Vogel, A. M., Zhang, J., Huang, E. Y., Santore, M. T., Tsao, K., ... & Collaborative, P. S. R. (2017). Identifying children at very low risk for blunt intra-abdominal injury in whom CT of the abdomen can be avoided safely. Journal of the American College of Surgeons, 224(4), 449-458.
5.0 APPROVALS
All revisions of this guideline are approved by the Trauma Service Department. This guideline is reviewed every three years or sooner if deemed necessary. Authority for this document resides with the Trauma Service Department. This guideline is approved by the Trauma Services Manager and the Director of Trauma Services.
This guideline lives on trauma.pemcincinnati.com.
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