Emergency Department, Inpatient, and ICU Clinical Pathway for Children with Blunt Abdominal Solid Organ Injury

 
 
Team Assessment
 
 

Liver, Spleen, or Kidney Injury Confirmed by CT

Determine Grade

  • Use highest grade for multiple solid organ injuries
  • Consult Urology for ≥ Grade III kidney injuries including any disruption of the collecting system
 
 
 
 
 
 
Hemodynamically Stable
with
Injury Grade ≤ IV
and
Admission Hgb ≥ 7
Hemodynamically Stable
with
Injury Grade V
or
Admission Hgb < 7
 
 
 
 
 
 
Administer IVF bolus
and/or
PRBC Transfusion
 
 
 
 
Improvement
No Improvement
 
 
 
 
Admit to PICU
 
 
 
 
Change in
hemodynamics
 
 
 
 
Posted: February 2014
Revised: September 2024
Editors: Clinical Pathways Team