title: Pediatric blunt liver injury and coagulopathy managed with packs and a silo: case report.
abstract: Packing the abdomen can be lifesaving when severe hepatic trauma is complicated by refractory hypothermia, coagulopathy, and continuing hemorrhage requiring large-volume transfusion. This report describes the successful use of abdominal packs and a modified silo in a child following blunt liver injury.
authors.affiliation: Tufts University School of Medicine, Floating Hospital, Boston, Massachusetts.
authors.forename: S
authors.initials: S
authors.lastname: Stylianos
authors.forename: N N
authors.initials: NN
authors.lastname: Jacir
authors.forename: M A
authors.initials: MA
authors.lastname: Hoffman
authors.forename: B H
authors.initials: BH
authors.lastname: Harris
mesh_terms: D000063:Accidents, Traffic; D001458:Bandages; D001778:Blood Coagulation Disorders / Q000097:blood / Q000188:drug therapy / Q000628:therapy*; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008099:Liver / Q000293:injuries*; D011312:Pressure; D012837:Silver Sulfadiazine / Q000627:therapeutic use; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000209:etiology
chemical_list: D012837:Silver Sulfadiazine