Pathway for Blunt Abdominal Solid Organ Injury

Discharge Planning

Discharge Restrictions Grade I Grade II Grade III Grade IV/V
Restricted Activity from full contact/competitive sports or play 4 weeks 6 weeks 8 weeks 12 weeks
Return To School No missed school No missed school 1 week 2 weeks
Follow Up 3-4 weeks 3-4 weeks 3-4 weeks 3-4 weeks
Smart Phrase for EPIC Discharge .TRAGrade1 Activity Restrictions .TRAGrade2 Activity Restrictions .TRAGrade3Activity Restrictions .TRA Grade4/5Activity Restrictions

Discharge Smart Phrases for Activity Restrictions

.TRAGrade1 Activity Restrictions

No Full Contact/Physical Activities or Competitive Sports for 4 weeks:
This includes No School Gym, No School Recess, and physical activities/sports such as Gymnastics, Dance, Biking, Skiing, Snowboarding, Sled riding, Jungle Gyms, Skateboarding, Rollerblading, Running and Jogging, Basketball, Soccer, Football, Boxing, Diving, Ice/Field Hockey, Lacrosse, Martial Arts, Rugby, Wrestling, Handball, Climbing, Weight Lifting, Rough Play. Avoid any activities that could lead to a hit to the abdomen.

Activities allowed at discharge are any NON-CONTACT physical activities:
These include walking, running on even surfaces, treadmills, stationary bikes. You may swim in private pool doing laps or to cool off in summer. No public pools, no diving, or playing with friends/siblings in pool. No ocean swimming. Other quiet activities your child can do include, reading, coloring, arts and crafts activities, video games, TV, etc.

.TRAGrade2 Activity Restrictions

No Full Contact/Physical Activities or Sports for 6 weeks:
This includes No School Gym, No School Recess, and physical activities/sports such as Gymnastics, dance, Biking, Skiing, Snowboarding, Sled riding, Jungle Gyms, Skateboarding, Rollerblading, Running and Jogging, Basketball, Soccer, Football, Boxing, Diving, Ice/Field Hockey, Lacrosse, Martial Arts, Rugby, Wrestling, Handball, Climbing, Weight Lifting, Rough Play. Avoid any activities that could lead to a hit to the abdomen.

Activities allowed at discharge are any NON-CONTACT physical activities:
These include walking, running on even surfaces, treadmills, , stationary bikes. You may swim in private pool doing laps or to cool off in summer. No public pools, no diving, or playing with friends/siblings in pool. No ocean swimming. Other quiet activities your child can do include, reading, coloring, arts and crafts activities, video games, TV, etc.

.TRAGrade3 Activity Restrictions

No Full Contact/Physical Activities or Sports for 8 weeks:
This includes No School Gym, No School Recess, and physical activities/sports such as Gymnastics, Dance, Biking, Skiing, Snowboarding, Sled Riding, Jungle Gyms, Skateboarding, Rollerblading, Running and Jogging, Basketball, Soccer, Football, Boxing, Diving, Ice/Field Hockey, Lacrosse, Martial Arts, Rugby, Wrestling, Handball, Climbing, Weight Lifting, Rough Play. Avoid any activities that could lead to a hit to the abdomen.

Activities allowed at discharge are any NON-CONTACT physical activities:
These include walking, running on even surfaces, treadmills, , stationary bikes. You may swim in private pool doing laps or to cool off in summer. No public pools, no diving, or playing with friends/siblings in pool. No ocean swimming. Other quiet activities your child can do include, reading, coloring, arts and crafts activities, video games, TV, etc.

.TRAGrade4/5 Activity Restrictions

No Full Contact/Physical Activities or Sports for 12 weeks:
This includes No School Gym, No School Recess, and physical activities/sports such as Gymnastics, Dance, Biking, Skiing, Snowboarding, Sled Riding, Jungle Gyms, Skateboarding, Rollerblading, Running and Jogging, Basketball, Soccer, Football, Boxing, Diving, Ice/Field Hockey, Lacrosse, Martial Arts, Rugby, Wrestling, Handball, Climbing, Weight Lifting, Rough Play. Avoid any activities that could lead to a hit to the abdomen.

Activities allowed at discharge are any NON-CONTACT physical activities:
These include walking, running on even surfaces, treadmills, stationary bikes. You may swim in private pool doing laps or to cool off in summer. No public pools, no diving, or playing with friends/siblings in pool. No ocean swimming. Other quiet activities your child can do include, reading, coloring, arts and crafts activities, video games, TV, etc.

Other Discharge Instructions SmartPhrases:


.TRANSAIDS (NSAIDS Restrictions)

No NSAIDS (Non-Steroidal Anti-Inflammatory Drugs) such as ibuprofen, Motrin, Advil, or Aleve for 6 weeks. This may affect platelet function and may cause bleeding.

.TRAsx (Contact for Concerns/Symptoms)

Call the Trauma clinic at 215-590-5932 right away if your child has any of the following:

  1. Signs of bleeding: pale, lethargic (hard to keep awake), blood in urine, stools or vomit
  2. Fever (temperature greater than 101° F or 38.5° C)
  3. Increased pain not helped by Tylenol and/or rest
  4. Refuses to eat or drink
  5. Vomiting

For concerns or questions about your child during the day, please call 215-590-5932. If you have a concern in the evenings, nights or on the weekends that cannot wait until the office is open, call (215) 590-1000 and ask the operator to page the Trauma Fellow on call.