1 / 19

Solid Organ trauma an Offally good approach

Solid Organ trauma an Offally good approach. Juliette King Department Paediatric surgery Starship. Haggis. Background. 1/1/09-31/12/2013. 146 patients identified from the prospectively managed trauma database. 10 excluded as did not have injury of Liver, Spleen, Kidney, Pancreas.

kyoko
Download Presentation

Solid Organ trauma an Offally good approach

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Solid Organ trauma an Offally good approach Juliette King Department Paediatric surgery Starship

  2. Haggis

  3. Background

  4. 1/1/09-31/12/2013 • 146 patients identified from the prospectively managed trauma database. • 10 excluded as did not have injury of Liver, Spleen, Kidney, Pancreas. • 44% were direct admissions the rest transferred in

  5. Demographics • Age Mean 9 (1-15) • Sex 74% Male • 3 deaths from other injuries

  6. Mechanism

  7. Tests • Elevated transaminases • Decreased haemaglobin • Micro or macroscopic haematuria • Elevated amylase

  8. Ethnicity

  9. Signs and symptoms • Handlebar marks • Bruises over flanks • Unconscious patient • Abdominal tenderness • Seat belt marks • Chest or pelvic injury

  10. Organ Injured

  11. AAST Grading Liver http://www.aast.org/library/traumatools/injuryscoringscales.aspx

  12. Grade of Injury

  13. Length of stay

  14. APSA guidelines

  15. Conclusion • Solid organ trauma is common and can have fairly benign seeming mechanisms of injury. • If they are suspected contrast enhanced CT is the imaging of choice • They can usually be managed conservatively following grading by CT • We are still very conservative in our management. • We are looking to creating a guideline for in patient stay.

  16. References • Hynick et al 2013 J Trauma AcuteCareSurgVolume 76, Number 1 • Stylianos Journal of Pediatric Surgery, Vol 35, No 2 (February), 2000: pp 164-169 • Aguyau et al Journal of Pediatric Surgery (2010) 45, 1311–1314 • Leinwand et al Journal of Pediatric Surgery, Vol 39, No 3 (March), 2004: pp 487-490 • St Peter et al Journal of Pediatric Surgery (2013) 48, 2437–2441 • Yang et al Journal of Pediatric Surgery (2008) 43, 2264–2267

More Related