ICU · Trauma

Abdominal Trauma — Blunt, Penetrating, FAST & Non-Operative Management

Also known as Abdominal trauma · Blunt abdominal trauma · Penetrating abdominal trauma · FAST scan · Splenic injury · Liver injury · Hollow viscus injury · Damage-control laparotomy · Non-operative management · Angioembolisation · Solid organ injury · Mesenteric injury · Pancreatic trauma · Genitourinary trauma

The abdominal trauma: the blunt (the solid organ — the spleen, the liver; the hollow viscus — the small bowel, the colon; the mesenteric) and the penetrating (the stab, the gunshot). The FAST scan (the bedside — the free fluid in the 4 views) — the rapid triage. The CT with the IV contrast (the stable patient — the grading). The laparotomy indications: the peritonitis, the hypotension unresponsive, the penetrating with the peritonitis, the evisceration. The non-operative management (the NOM) for the blunt solid organ (the spleen, the liver) if the haemodynamically stable. The angioembolisation for the contrast extravasation (the blush). The damage-control laparotomy (the physiological extremis — the open abdomen, the packing, the planned re-operation).

Checked against its sources on 5 Sept 2026