title: Selective nonoperative management of high grade splenic trauma.
abstract: The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of splenic trauma. Our focus was on high-grade splenic injuries, defined as AAST injury grade III-V. The first paper was an update of the 2003 Eastern Association for the Surgery of Trauma (EAST) practice management guidelines for nonoperative management of injury to the spleen. The second paper was an American Association for the Surgery of Trauma (AAST) 2012 plenary paper evaluating the predictive role of contrast blush on CT scan in AAST grade IV and V splenic injuries. Our last article was from Europe and investigates the effects of angioembolization of splenic artery on splenic function after high-grade splenic trauma (AAST grade III-V). The EBT-TACS Journal Club elaborated conclusions and recommendations for the management of high-grade splenic trauma.
authors.affiliation: Department of Surtery, University of Arizona, 1501 N. Campbell Ave, Tucson, AZ 85724-5063, USA.
authors.forename: Bernardino C
authors.initials: BC
authors.lastname: Branco
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Tang
authors.forename: Peter
authors.initials: P
authors.lastname: Rhee
authors.forename: Gustavo Pereira
authors.initials: GP
authors.lastname: Fraga
authors.forename: Bartolomeu
authors.initials: B
authors.lastname: Nascimento
authors.forename: Sandro
authors.initials: S
authors.lastname: Rizoli
authors.forename: Terence
authors.initials: T
authors.lastname: O'Keeffe
mesh_terms: D000007:Abdominal Injuries / Q000628:therapy; D006801:Humans; D015601:Injury Severity Score; D017410:Practice Guidelines as Topic; D013154:Spleen / Q000293:injuries*