Conservative management of intra-abdominal injuries
Whilst blunt trauma forms the vast majority of paediatric injury worldwide, and although poorly documented in recent years, South Africa sees a particularly high volume of such cases, primarily due to a high incidence of both motor vehicle and pedestrian vehicle accidents. Improving road safety needs to be given urgent priority in the future to reduce this incidence.
Irrespective of the presence and/or standard of pre-hospital emergency medical services, in-hospital treatment hinges around a thorough examination in the resuscitation room, appropriate medical intervention, particularly fluid therapy, further directed haematological and radiological investigation, and thereafter appropriate ongoing care, which with appropriate monitoring will be conservative in the vast majority of cases.
J A Loveland, author
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Date published: 2010-03-29
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