July 4th poll: Stabbed abdomen

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local wound exploration, in the OR if necessary.

E

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Trinity Mother Frances
Tyler, Tx
ecthompson at msn.com
Don't think you are
Know you are
                  - Morpheus (The Matrix)



----- Original Message ----- 
From: "Karim Brohi" <karim at trauma.org>
To: "'Trauma & Critical Care mailing list'" <trauma-list at trauma.org>
Sent: Saturday, July 03, 2004 7:24 PM
Subject: July 4th poll: Stabbed abdomen


> In expectation & anticipation of the coming 4th July hijinx - and a normal
> Saturday night everywhere else - here's a quick trauma-list poll:
>
> How do you evaluate a stab wound to the anterior abdomen in a
> haemodynamically stable, otherwise fit adult without peritonitis:
>
> 1. Clinical examination & serial observations
> 2. Local Wound Exploration
> 3. Diagnostic Peritoneal Lavage
> 4. Ultrasound
> 5. CT
> 6. Laparoscopy
> 7. Laparotomy
>
> Or some combination of the above.  Justify your decision.
> If you choose DPL - What is your threshold for operation?
> If you choose CT - Single or multislice; oral, IV, or triple contrast?
>
> How does your answer change if the patient is GCS 12 from alcohol?
>
> Enjoy the holiday
>
> Karim
>
> "when everything is simple in the white and the black
> You will never have to see the grey anymore
> You will never have to be afraid..."
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html
> 

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