Conservatively managed Spleenic injury

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> Dear all,
>
>   1. What is tha safest time to discharge fron the hospital ? (Obviuosly
> it depends on the grading of the injury)
>   2. How long you keep them off sporting activity?
>
>   Ranjith Ellawala
>   Sri lanka
>
Ranjith

There are no hard and fast rules. If anything I think the approach
originally mooted by Bill Scwab has always worked for me:
1 Day in ICU per grade, then 1 day in a general ward per grade and 1 week
of low normal activity per grade of injury. No sport is difficult as there
is no standard.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service

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