Inpatient Clinical Pathway for Children with
Blunt Abdominal Solid Organ Injury
Solid Organ Injury Suspected
Liver, spleen, kidney
Liver, spleen, kidney
Review
- History and Physical
- ED/Trauma Labs
- CT with IV Contrast
- Delayed Images for Renal Injuries
- Solid Organ Injury Confirmed
- Determine Grade
- If multiple solid organ injuries, use
the highest grade for pathway
Grades I, II
Grade III
Grades IV, V, VI
- Confirm IV, Labs Obtained in ED:
- CBC
- UA
- Hepatic Function Panel
- Amylase
- Lipase
- Other labs as clinically indicated
- Confirm IV, Labs Obtained in ED:
- Type and Screen
- CBC
- UA
- Hepatic Function Panel
- Amylase
- Lipase
- Other labs as clinically indicated
- Admit Trauma Service
- Surgical Floor
- Inpatient Management
- Admit Trauma Service
- PICU
- Inpatient Management
Posted: February 2014
Revised: March 2017, March 2019 (Reviewed)
Authors: D. Perks, CRNP, MSN; M. Nance, MD;
Revised: March 2017, March 2019 (Reviewed)
Authors: D. Perks, CRNP, MSN; M. Nance, MD;
Evidence
- Prospective validation of an abbreviated bedrest protocol in the management of blunt spleen and liver injury in children
- The role of minimally invasive surgery in pediatric trauma: a collective review
- Non-operative management of blunt renal injury: a need for further study
- Outcomes and indications for intervention in non-operative management of paediatric liver trauma: A 5 year retrospective study. Clinical Radiology 2013
- Nonoperative management of blunt liver and spleen injury in children: Evaluation of the ATOMAC guideline using GRADE
- Laparoscopy in Pediatric Abdominal Trauma: A 13-Year Experience