Clinical policy: Critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma

Annals of Emergency Medicine

Volumn 57, Issue 4, 2011, Pages 387-404

  Diercks, Deborah B ^a   Mehrotra, Abhishek ^a   Nazarian, Devorah J ^a   Promes, Susan B ^a   Decker, Wyatt W ^a   Fesmire, Francis M ^a  

^a Amer Coll of Emergency Phys Clin Policies Subcommittee (Writing Comm) on Critical Issues   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ABDOMINAL SURGERY; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY WARD; EVIDENCE BASED EMERGENCY MEDICINE; HEALTH CARE POLICY; HUMAN; MEDICAL SOCIETY; PRIORITY JOURNAL; PROCESS DEVELOPMENT; RADIOLOGY; RELIABILITY; REVIEW; VALIDITY;

ABDOMINAL INJURIES; ADULT; CONTRAST MEDIA; EMERGENCY SERVICE, HOSPITAL; HEMODYNAMICS; HUMANS; PATIENT DISCHARGE; POINT-OF-CARE SYSTEMS; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 79953234874     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2011.01.013     Document Type: Review

References (38)

1. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma. Ann Emerg Med. 2004;43:278-290.
2. American College of Surgeons, Committee on Trauma. National Trauma Data Bank Report, 2009. Available at www.facs.org/trauma/ntdb/ntdbannualreport2009. pdf. Accessed November 2, 2010.
3. Livingston DH, Lavery RF, Passannante MR, et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial. J Trauma. 1998;44:273-280.
4. Root HD, Hauser CW, McKinley CR, et al. Diagnostic peritoneal lavage. Surgery. 1965;57:633-637.
5. Schriger DL, Cantrill SV, Greene CS. The origins, benefits, harms, and implications of emergency medicine clinical policies. Ann Emerg Med. 1993;22:597-602. (Pubitemid 23077204)
6. Prall JA, Nichols JS, Brennan R, et al. Early definitive abdominal evaluation in the triage of unconscious normotensive blunt trauma patients. J Trauma. 1994;37:792-797. (Pubitemid 24366875)
7. Schurink GW, Bode PJ, van Luijt PA, et al. The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study. Injury. 1997;28:261-265. (Pubitemid 27332118)
8. Yegiyants S, Abou-Lahoud G, Taylor E. The management of blunt abdominal trauma patients with computed tomography scan findings of free peritoneal fluid and no evidence of solid organ injury. Am Surg. 2006;72:943-946. (Pubitemid 351837638)
9. Bode PJ, Edwards MJ, Kruit MC, et al. Sonography in a clinical algorithm for early evaluation of 1,671 patients with blunt abdominal trauma. AJR Am J Roentgenol. 1999;172:905-911. (Pubitemid 29505611)
10. Yeo A, Wong CY, Soo KC. Focused abdominal sonography for trauma (FAST). Ann Acad Med Singapore. 1999;28:805-809.
11. McKenney M, Lentz K, Nunez D, et al. Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma? J Trauma. 1994;37:439-441. (Pubitemid 24288578)
12. McKenney MG, Martin L, Lentz K, et al. 1,000 consecutive ultrasounds for blunt abdominal trauma. J Trauma. 1996;40:607-610. (Pubitemid 126425011)
13. Lentz KA, McKenney MG, Nunez DB, et al. Evaluating blunt abdominal trauma: role for ultrasonography. J Ultrasound Med. 1996;15:447-451. (Pubitemid 26161171)
14. Wherrett LJ, Boulanger BR, McLellan BA, et al. Hypotension after blunt abdominal trauma: the role of emergent abdominal sonography in surgical triage. J Trauma. 1996;41:815-820. (Pubitemid 26403376)
15. Rozycki GS, Ballard RB, Feliciano DV, et al. Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1,540 patients. Ann Surg. 1998;228:557-567. (Pubitemid 30194399)
16. Holmes JF, Harris D, Battistella FD. Performance of abdominal ultrasonography in blunt abdominal trauma patients with out-of-hospital or emergency department hypotension. Ann Emerg Med. 2004;43:354-361. (Pubitemid 38282646)
17. Stafford RE, McGonigal MD, Weigelt JA, et al. Oral contrast solution and computed tomography for blunt abdominal trauma. A randomized study. Arch Surg. 1999;134:622-627. (Pubitemid 29266486)
18. Allen TL, Mueller MT, Bonk RT, et al. Computed tomographic scanning without oral contrast solution for blunt bowel and mesenteric injuries in abdominal trauma. J Trauma. 2004;56:314-322. (Pubitemid 38295374)
19. Stuhlfaut JW, Soto JA, Lucey BC, et al. Blunt abdominal trauma: performance of CT without oral contrast material. Radiology. 2004;233:689-694.
20. Hoff WS, Holevar M, Nagy KK, et al. Eastern Association for the Surgery of Trauma. Practice management guidelines for the evaluation of blunt abdominal trauma: the East Practice Management Guidelines Work Group. J Trauma. 2002;53:602-615.
21. Brown CK, Dunn KA, Wilson K. Diagnostic evaluation of patients with blunt abdominal trauma: a decision analysis. Acad Emerg Med. 2000;7:385-396. (Pubitemid 30207982)
22. Heilbrun ME, Chew FS, Tansavatdi KR, et al. The role of negative CT of the abdomen and pelvis in the decision to admit adults from the emergency department after blunt trauma. J Am Coll Radiol. 2005;2:889-895. (Pubitemid 41542833)
23. Frick EJ, Pasquale MD, Cipolle MD. Small-bowel and mesentery injuries in blunt trauma. J Trauma. 1999;46:920-925.
24. Sherck J, Shatney C, Sensaki K, et al. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg. 1994;168:670-675. (Pubitemid 24378538)
25. Brasel KJ, Borgstrom DC, Kolewe KA, et al. Abdominal computed tomography scan as a screening tool in blunt trauma. Surgery. 1996;120:780-783.
26. Jacobs DG, Sarafin JL, Marx JA. Abdominal CT scanning for trauma: how low can we go? Injury. 2000;31:337-343. (Pubitemid 30206980)
27. Perez FG, O'Malley KF, Ross SE. Evaluation of the abdomen in intoxicated patients: is computed tomography scan or peritoneal lavage always indicated? Ann Emerg Med. 1991;20:500-502.
28. Rodriguez A, DuPriest RW Jr, Shatney CH. Recognition of intraabdominal injury in blunt trauma victims. A prospective study comparing physical examination with peritoneal lavage. Am Surg. 1982;48:457-459.
29. Salim A Sangthong B, Martin M, et al. Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study. Arch Surg. 2006;141:468-473.
30. Richards JR, Derlet RW. Computed tomography and blunt abdominal injury: patient selection based on examination, haematocrit and haematuria. Injury. 1997;28:181-185. (Pubitemid 27313664)
31. Festini G, Gregorutti S, Reina G, et al. Isolated intraperitoneal bladder rupture in patients with alcohol intoxication and minor abdominal trauma. Ann Emerg Med. 1991;20:1371-1372.
32. Kleinert HE, Romero J. Blunt abdominal trauma. Review of cases admitted to a general hospital over a 10 year period. J Trauma. 1961;1:226-240.
33. Ferrera PC, Verdile VP, Bartfield JM, et al. Injuries distracting from intra-abdominal injuries after blunt trauma. Am J Emerg Med. 1998;16:145-149. (Pubitemid 28130773)
34. Udekwu PO, Gurkin B, Oller DW. The use of computed tomography in blunt abdominal trauma. Am Surg. 1996;62:56-59. (Pubitemid 26162266)
35. Poletti PA, Mirvis SE, Shanmuganathan K, et al. Blunt abdominal trauma patients: can organ injury be excluded without performing computed tomography. J Trauma. 2004;57:1072-1081. (Pubitemid 39579296)
36. Deunk J, Brink M, Dekker HM, et al. Predicators for the selection of patients for abdominal CT after blunt trauma: a proposal for a diagnostic algorithm. Ann Surg. 2010;251:512-520.
37. Holmes JF, Wisner DH, McGahan JP, et al. Clinical prediction rules for identifying adults at very low risk for intra-abdominal injuries after blunt trauma. Ann Emerg Med. 2009;54:575-584.
38. Richards JR, Derlet RW. Computed tomography for blunt abdominal trauma in the ED: a prospective study. Am J Emerg Med. 1998;16:338-342. (Pubitemid 28321973)