ABDOMINAL TRAUMA PENETRATING

See Truncal penetration

See Thoracic penetration

RESUSCITATION

Circulation

Other

INDICATIONS FOR LAPAROTOMY

  • If unstable and FAST shows free fluid
  • Missile or implement in situ
  • Peritonism
  • Evisceration
  • GI bleed
  • CXR - bowel in thorax
 

 

 

OT

INVESTIGATION FOR EQUIVOCAL INJURIES

Local wound exploration

Peritoneal breech 

DPL or laparoscopy or laparotomy

Equivocal

CT abdomen or DPL or laparoscopy or laparotomy

No peritoneal breech

Discharge

OTHER MANAGEMENT

DISPOSITION

Operating theatre 

All unstable or definite injuries

Admit to HDU (if not already going to theatre)

Discharge only if: