Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10103674 | Journal of the American College of Surgeons | 2005 | 9 Pages |
Abstract
Thirty percent to 40% of the patients who had unsuccessful nonoperative management in this study were selected inappropriately, with hemodynamic instability or initial misinterpretation of diagnostic studies. As a consequence, the majority of the deaths were from delayed treatment of intraabdominal injuries. This article suggests that written protocols, better adherence to sound clinical judgment, and experienced and timely interpretation of radiologic studies would reduce the incidence of failure of nonoperative management of blunt splenic injury in adults.
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Authors
Andrew B. (FACS), Brian G. (FACS), Luis MD, Brian MD, Eastern Association for the Surgery of Trauma Multiinstitutional Trials Workgroup Eastern Association for the Surgery of Trauma Multiinstitutional Trials Workgroup,