Raphael Parrado

54 statements · 2 topics

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PECARN (Pediatric Emergency Care Applied Research Network) criteria for CT imaging include Glasgow Coma Scale, abdominal examination findings, seatbelt sign, and thoracic trauma
guideline · Blunt Abdominal Trauma
For patients with minor injuries, observation in the emergency department or discharge home with follow-up may be appropriate in absence of other injuries
clinical · Blunt Abdominal Trauma
Seatbelt sign on inspection is an important finding in pediatric blunt abdominal trauma, associated with pelvic fractures and intra-abdominal injuries
clinical · Splenic Injury
Anatomic resection is preferred when patient is hemodynamically stable; non-anatomic resection with stapler may be used for ongoing hemorrhage
clinical · Splenic Injury

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Raphael's statements about Blunt Abdominal Trauma 27 statements

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Trauma Abdominal Cerrado con el Dr. Raphael Parrado

Statement Blunt abdominal trauma represents 5% of cases in pediatric trauma Open
Statement The spleen is the most commonly injured organ in pediatric blunt abdominal trauma, accounting for 40% of cases Open
Statement Other organs injured include pancreas, kidney, and intestines Open
Statement Seatbelt sign on inspection is an important finding in pediatric blunt abdominal trauma, associated with pelvic fractures and intra-abdominal injuries Open
Statement FAST ultrasound is the most commonly implemented imaging study to determine presence or absence of free fluid in the abdomen Open
Statement Laboratory studies for blunt abdominal trauma include renal panel, hematocrit, amylase, and aminotransferase Open
Statement Amylase greater than 200 or elevated aminotransferase indicates need for CT imaging Open
Statement PECARN (Pediatric Emergency Care Applied Research Network) criteria for CT imaging include Glasgow Coma Scale, abdominal examination findings, seatbelt sign, and thoracic trauma Open
Statement For patients with minor injuries, observation in the emergency department or discharge home with follow-up may be appropriate in absence of other injuries Open
Statement Non-operative management protocol includes crystalloid fluid limit, serial hemoglobin checks to determine transfusion need Open
Statement Renal injuries with hematuria can be observed, with monitoring for worsening hematuria as indication for intervention Open
Statement Grade 3, 4, and 5 solid organ injuries can be observed in many institutions if patient remains hemodynamically stable Open
Statement Indications for operative intervention include peritonitis, free air, and hemodynamic instability Open
Statement Transfusion threshold for operative consideration is 40 mL/kg of crystalloid or 40 mL/kg of packed red blood cells Open
Statement Laparotomy incision extends from inferior border of pubis to xiphoid process Open
Statement Most common injury grades requiring surgery are grades 4 and 5, though grade 3 may also require intervention Open
Statement Initial surgical steps include packing anterior and posterior abdomen for hemorrhage control Open
Statement Hemostatic techniques include use of non-permanent coagulation sutures and large figure-of-eight sutures Open
Statement Anatomic resection is preferred when patient is hemodynamically stable; non-anatomic resection with stapler may be used for ongoing hemorrhage Open
Statement Most common procedures performed are splenectomy and bowel resection Open
Statement For arterial pulsatile bleeding versus diffuse venous bleeding, surgeon should pack and return for re-exploration at 24 hours Open
Statement Damage control surgery with packing is appropriate when patient is hemodynamically unstable despite resuscitation Open
Statement Transfusion-related complications include hemodynamic instability and pulmonary edema Open
Statement Patients require monitoring in ICU to ensure adequate fluid removal without complete depletion Open
Statement Important complications include peritonitis, infectious complications, and overwhelming post-splenectomy sepsis (OPSS), which can be fatal Open
Statement Post-splenectomy vaccines are given at 2 weeks after surgery Open
Statement Follow-up includes monitoring for hematoma or fluid collections Open
Raphael's statements about Splenic Injury 27 statements

Open the Splenic Injury collection →

Trauma Abdominal Cerrado con el Dr. Raphael Parrado

Statement Blunt abdominal trauma represents 5% of cases in pediatric trauma Open
Statement The spleen is the most commonly injured organ in pediatric blunt abdominal trauma, accounting for 40% of cases Open
Statement Other organs injured include pancreas, kidney, and intestines Open
Statement Seatbelt sign on inspection is an important finding in pediatric blunt abdominal trauma, associated with pelvic fractures and intra-abdominal injuries Open
Statement FAST ultrasound is the most commonly implemented imaging study to determine presence or absence of free fluid in the abdomen Open
Statement Laboratory studies for blunt abdominal trauma include renal panel, hematocrit, amylase, and aminotransferase Open
Statement Amylase greater than 200 or elevated aminotransferase indicates need for CT imaging Open
Statement PECARN (Pediatric Emergency Care Applied Research Network) criteria for CT imaging include Glasgow Coma Scale, abdominal examination findings, seatbelt sign, and thoracic trauma Open
Statement For patients with minor injuries, observation in the emergency department or discharge home with follow-up may be appropriate in absence of other injuries Open
Statement Non-operative management protocol includes crystalloid fluid limit, serial hemoglobin checks to determine transfusion need Open
Statement Renal injuries with hematuria can be observed, with monitoring for worsening hematuria as indication for intervention Open
Statement Grade 3, 4, and 5 solid organ injuries can be observed in many institutions if patient remains hemodynamically stable Open
Statement Indications for operative intervention include peritonitis, free air, and hemodynamic instability Open
Statement Transfusion threshold for operative consideration is 40 mL/kg of crystalloid or 40 mL/kg of packed red blood cells Open
Statement Laparotomy incision extends from inferior border of pubis to xiphoid process Open
Statement Most common injury grades requiring surgery are grades 4 and 5, though grade 3 may also require intervention Open
Statement Initial surgical steps include packing anterior and posterior abdomen for hemorrhage control Open
Statement Hemostatic techniques include use of non-permanent coagulation sutures and large figure-of-eight sutures Open
Statement Anatomic resection is preferred when patient is hemodynamically stable; non-anatomic resection with stapler may be used for ongoing hemorrhage Open
Statement Most common procedures performed are splenectomy and bowel resection Open
Statement For arterial pulsatile bleeding versus diffuse venous bleeding, surgeon should pack and return for re-exploration at 24 hours Open
Statement Damage control surgery with packing is appropriate when patient is hemodynamically unstable despite resuscitation Open
Statement Transfusion-related complications include hemodynamic instability and pulmonary edema Open
Statement Patients require monitoring in ICU to ensure adequate fluid removal without complete depletion Open
Statement Important complications include peritonitis, infectious complications, and overwhelming post-splenectomy sepsis (OPSS), which can be fatal Open
Statement Post-splenectomy vaccines are given at 2 weeks after surgery Open
Statement Follow-up includes monitoring for hematoma or fluid collections Open