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Clinical Guideline

Solid Organ Injury: ATOMAC Guidelines

Topic overview

Updated evidence-based guidelines for nonoperative management of pediatric blunt liver and spleen injuries using GRADE methodology. The ATOMAC algorithm emphasizes hemodynamic status over injury grade, shortened bed rest, and standardized transfusion thresholds to improve outcomes and reduce unnecessary interventions.

Key Takeaways

  • Manage pediatric solid organ injury based on hemodynamic status rather than injury grade alone
  • Abbreviated bed rest is supported; discharge stable patients before 24 hours with 1B evidence
  • Transfusion threshold of 7.0 g/dL recommended; define failure as >40 mL/kg or 4 units blood
  • ATOMAC guideline updates APSA recommendations with 6 grade 1A and 2 grade 1B recommendations
  • Account for local resources and concurrent injuries when managing children who fail to stabilize

Keywords

Blunt Abdominal Trauma Nonoperative Management Liver Injury Spleen Injury Grade Methodology Pediatric Trauma Hemodynamic Stability

Hashtags

#PediatricTrauma #NonoperativeManagement #SolidOrganInjury #TraumaGuidelines

Full guideline text

Full text not available for this guideline
How to cite: GlobalCastMD. Solid Organ Injury: ATOMAC Guidelines. GlobalCastMD Medical Library. https://library.globalcastmd.com/guideline/1856

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