Pediatric blunt liver injury and coagulopathy managed with packs and a silo: case report.
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.
Stylianos
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Tufts University School of Medicine, Floating Hospital, Boston, Massachusetts.
Jacir
N N
NN
Hoffman
M A
MA
Harris
B H
BH
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
D012837:Silver Sulfadiazine