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

Evidence

  • Reducing Scheduled Phlebotomy in Stable Pediatric Patients with Blunt Liver or Spleen Injury  
  • Identifying Children at Very Low Risk of Clinically Important Blunt Abdominal Injuries  
  • Identification of Children with Intra-Abdominal Injuries after Blunt Trauma  
  • Throwing Out the “Grade” Book: Management of Isolated Spleen and Liver Injury Based on Hemodynamic Status  
  • Nonoperative Management of Blunt Liver and Spleen Injury in Children: Evaluation of the ATOMAC Guideline using GRADE  
  • Follow Up of Prospective Validation of an Abbreviated Bedrest Protocol in the Management of Blunt Spleen and Liver Injury in Children  
  • Identifying Children at Very Low Risk for Blunt Intra-Abdominal Injury in Whom CT of the Abdomen Can Be Avoided Safely  
  • Nonsteroidal Anti-inflammatory Drugs Are Not Associated With Increased Bleeding in Blunt Solid Organ Injury  
  • Systematic Review and Meta–Analysis of the Association Between Non–Steroidal Anti–Inflammatory Drugs and Operative Bleeding in the Perioperative Period  
  • Admission for Isolated Low-Grade Solid Organ Injury May Not Be Necessary in Pediatric Patients  
  • Isolated Low-Grade Solid Organ Injuries in Children Following Blunt Abdominal Trauma: Is It Time to Consider Discharge from the Emergency Department?  

 

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.