Exam 4: Abdominal Trauma
*MVA
Seat belt injury
Handle bar injury
Fall from height
Fall onto object - ANS-What are the major causes of blunt abdominal trauma?
*Pelvic fracture
Pregnant patient - ANS-When is Open DPL preferred?
1. Needle is inserted 2 finger breaths below the umbilicus (after local lidocaine)
2. Guide wire and peritoneal lavage catheter inserted
3. One liter of fluid is instilled and then the abdomen is drained - ANS-Describe CLODED DPL
1. Supraumilical/infraumbilical incision done under local anesthesia
2. Fascia is opened, a purse string suture is placed in peritoneum
3. Peritoneum is opened and catheter is passed into the cavity
4. Fluid is instilled and then removed
5. Area is closed with purse string suture - ANS-Decribe OPEN DPL
10 mL of free-flowing blood - ANS-An immediately positive lavage is defined as
100,000 RBCs per microliter - ANS-A positive lavage in blunt trauma is defined as
2 FAST exams performed at least 6 hours apart
-Supplemented with serial physical exams - ANS-What is the recommendation when using
FAST examination?
25 mL - ANS-How much blood must accumulate in the abdomen for a positive DPL?
Abrasions, lacerations, contusions, and seatbelt marks - ANS-INSPECTION for abdominal
trauma includes
American Association for the Surgery of Trauma - ANS-Hepatic and splenic injuries are
classified according to what system?
Angiographic embolization - ANS-What is used to treat vascular hepatic/splenic injuries?
Axial loading
*MVA
Seat belt injury
Handle bar injury
Fall from height
Fall onto object - ANS-What are the major causes of blunt abdominal trauma?
*Pelvic fracture
Pregnant patient - ANS-When is Open DPL preferred?
1. Needle is inserted 2 finger breaths below the umbilicus (after local lidocaine)
2. Guide wire and peritoneal lavage catheter inserted
3. One liter of fluid is instilled and then the abdomen is drained - ANS-Describe CLODED DPL
1. Supraumilical/infraumbilical incision done under local anesthesia
2. Fascia is opened, a purse string suture is placed in peritoneum
3. Peritoneum is opened and catheter is passed into the cavity
4. Fluid is instilled and then removed
5. Area is closed with purse string suture - ANS-Decribe OPEN DPL
10 mL of free-flowing blood - ANS-An immediately positive lavage is defined as
100,000 RBCs per microliter - ANS-A positive lavage in blunt trauma is defined as
2 FAST exams performed at least 6 hours apart
-Supplemented with serial physical exams - ANS-What is the recommendation when using
FAST examination?
25 mL - ANS-How much blood must accumulate in the abdomen for a positive DPL?
Abrasions, lacerations, contusions, and seatbelt marks - ANS-INSPECTION for abdominal
trauma includes
American Association for the Surgery of Trauma - ANS-Hepatic and splenic injuries are
classified according to what system?
Angiographic embolization - ANS-What is used to treat vascular hepatic/splenic injuries?
Axial loading
