00:00 / 00:00
Abdominal trauma: Clinical
0 / 7 complete
Abdominal trauma is defined as injury anywhere between the nipple line and inguinal creases, and can be blunt, like from motor vehicle accidents, or penetrating, like from stab wounds or gunshot wounds.
The main goal of the primary survey is to assess and treat for immediately life-threatening injuries.
Okay, so if the individual is talking to you with a clear voice, their airway is intact. If not, assess their ability to maintain the airway, or if they needed assisted ventilation with a bag-valve mask or even endotracheal intubation.
As for “breathing”, look for tracheal deviation and listen to the breath sounds.
Assess for signs of inadequate end-organ perfusion, such as altered mental status, decrease urine output, cool or pale skin, and delayed capillary refill.
Also, insert two large-bore intravenous lines, and prepare for the need for blood products.
Bedside ultrasound can also be used in the primary survey - and it’s called focused assessment with sonography for trauma, or the FAST exam.
The ultrasound probe explores the pericardial cavity, then the right flank, also called the hepatorenal recess or Morison’s pouch, and then the left flank which looks for perisplenic fluid, and finally the suprapubic region to look for fluid around the bladder.
Abdominal trauma is a serious injury to the abdomen, which can involve the abdominal wall, internal organs, or the vasculature within the abdominal cavity. Abdominal trauma is usually divided into two categories depending on the mechanism of injury. First, there is blunt abdominal trauma caused by a blunt object such as a blow to the abdomen, a car crash, or a fall on bicycle handlebars. In blunt abdominal trauma, the spleen is the most injured organ. There is also penetrating abdominal trauma, which occurs when a sharp object penetrates and injures various parts of the abdomen. These include abdominal stab injuries and gunshot wounds. Common symptoms of abdominal trauma include pain, swelling, bruising, and symptoms of hemorrhagic shock such as confusion and pallor.
Copyright © 2023 Elsevier, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Cookies are used by this site.
USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.