Quote:
Originally posted by HFCUIDOC
In patients with abdominal injury, whether blunt, stab, missile, or crush in which you you suspect abdominal vascular injury, avoid lower extremity IV access.
Stab wound patients sustain major abdominal vascular injury 10% of the time, which causes a clean transection or laceration.
25% of GSW patients have a major abdominal vascular injury, the extent of which is variable based on wound ballistics.
Blunt trauma results in major abdominal vascular injury 5-10% of the time. Injury occurs primarily by deceleration, producing shear injuries, or by crushing, often times seen in MVA's.
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just to add:
most common organs injured in blunt trauma: liver and spleen
most common organs injured in penetrating trauma: liver and small bowel...
25-35% of stab wounds to the anterior abdomen do not penetrate the abdominal cavity; of those that do 50% do not injure any intra-abdominal organs (at least in civilian life!)