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Adult Blunt Splenic Trauma algorithm

Adult Blunt Splenic Trauma Notes:
Introduction
Historic Perspective
Table 1
Note A Table 2 Note B Note C Note D Note E Note F Table 3 Note G Note H Note I Note J Note K References

  

 
Western Trauma Association
Management of Adult Blunt Splenic Trauma

 

Annotation for Point I

 
When pursuing NOM of splenic injuries it is important to exclude other injuries that require operative intervention. Historically, the risk of missing a HVI received the most attention. In the eight recent series depicted in Table 1, where the average frequency of NOM was 70%, there was only one case of a missed HVI in the 2,355 patients selected for NOM. This was a missed colon injury and accounted for the only death in these series attributable to NOM.

 

  
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