Updated APSA Guidelines for the Management of Blunt Liver and Spleen Injuries
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- APSA updated blunt liver/spleen injury guidelines to base treatment on clinical signs rather than injury grade alone
- New framework uses APSA acronym: Admission, Procedures, Set free (discharge), Aftercare for systematic management
- Shift away from grade-based protocols allows more individualized, clinically-driven decision making in pediatric trauma
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Do you still use just grade of injury to treat trauma patients? Hi, it's Cecilia from Cincinnati Children's Hospital and I think this is an article that you should know about. This is a retrospective review done by the APSA Outcomes Committee and the Trauma Committee that wanted to update their guidelines on liver and spleen blunt trauma. And what did they find? After the review, they divided the treatment in four stages, using the acronym APSA. A for admission, P for procedures, S for set free or discharge, and A for aftercare. And the main change is that the treatment is based on clinical signs and symptoms instead of grade of injury. So go check them out and let us know what you think. Stay tuned for more articles that you should know about.