Western Trauma Association
Management of Adult Blunt Splenic Trauma
Introduction
This is a position article from members of the Western
Trauma Association (WTA). Because there are no
prospective randomized trials, the algorithm (Fig.
1) is based on the expert opinion of WTA members and
published observational studies. We recognize that
variability in decision making will continue. We hope
this management algorithm will encourage institutions to
develop local protocols based on the resources that are
available and local expert consensus opinion to apply
the safest, most reliable management strategies for
their patients. What works at one institution may not
work at another. The algorithm contains letters A
through K, which corresponds to lettered text. This text
is intentionally concise and its purpose is to navigate
the reader through the algorithm and to identify and
discuss the gray zones in the logic of this decision
making. This annotated algorithm is intended to (a)
serve as a quick reference for bedside clinicians, (b)
foster more detailed patient care protocols that will
allow for prospective collection of data to identify
best practices, and (c) generate research projects to
answer specific questions concerning decision making in
the management of adult blunt splenic trauma.
