Management of blunt abdominal trauma in children.
OBJECTIVE
Over the last decade non-operative management of children with blunt abdominal trauma has been established as safe and efficacious.


OBJECTIVE
This paper reviews the clinical management and resource utilization patterns in a pediatric trauma center in the mid-Atlantic region. It focuses on the following issues admission to the intensive care unit, safe interval for activity restriction, pre and post imaging with CT, rate of laparotomy and transfusion requirements of children with blunt abdominal trauma. Nursing care and medical management from the initial evaluation through discharge are discussed.


METHODS
Management of blunt abdominal injury in children was restructured using an algorithm suggested by the American Pediatric Surgical Association (APSA) trauma committee to coordinate care at a regional trauma center.


CONCLUSIONS
Results indicated a decrease in LOS from 6 days to 4 days, and a 20% reduction in total costs.
Wise
Barbara V
BV
University of Pittsburgh, Pittsburgh, PA, USA.
Mudd
Shawna Spears
SS
Wilson
Mary Ellen
ME
D000007:Abdominal Injuries / Q000175:diagnosis / Q000628:therapy; D000063:Accidents, Traffic; D000293:Adolescent; D000465:Algorithms; D015142:Baltimore; D001510:Bed Rest; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002648:Child; D002985:Clinical Protocols / Q000592:standards*; D015600:Glasgow Coma Scale; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D007813:Laparotomy / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D024802:Nurse's Role; D010351:Patient Discharge; D010353:Patient Education as Topic; D010372:Pediatrics / Q000379:methods / Q000592:standards; D010533:Peritoneal Lavage; D010818:Practice Patterns, Physicians' / Q000592:standards; D012622:Seat Belts / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D014193:Trauma Centers; D015599:Trauma Severity Indices; D014194:Traumatology / Q000379:methods / Q000592:standards; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000628:therapy