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Splenic injury case

Duchesne, Juan C jduchesn at tulane.edu
Sat Dec 27 08:57:57 GMT 2014


This patient shock index is 1.4 on arrival.
I recommend effective low volume resuscitation , hemostatic resuscitation and a #10 blade.

Juan

Juan Duchesne
Trauma Medical Director
GME Medical Director
North Oaks Health System
Hammond LA
Associate Professor of Surgery
Tulane New Orleans LA
LSUHSC New Orleans LA



On Dec 27, 2014, at 02:31, Miklosh Bala <mikloshbala at gmail.com<mailto:mikloshbala at gmail.com>> wrote:

22 yo female following car crush, on arrival HR 120, BP 90/60,
seatbelt sign and posterior hip dislocation. Following resuscitation
(crystalloids) and hip reduction, CT showed splenic rupture (Grade 4)
-no active contrast extravasation.
BP 100' HP 100. No other injury.
The patient 2 years following Sleeve Gastrectomy.
Do you thing angio is safe for this specific case? Short gastric
arteries are divided - is that come to consideration?

--
Miklosh Bala, MD
Head of Trauma and Acute Care Surgery Unit
Hadassah - Hebrew University Medical Center
Tel: (972) 26778800; Fax: (972) 26449412
Email: mikloshbala at gmail.com<mailto:mikloshbala at gmail.com>
--
trauma-list : TRAUMA.ORG<http://TRAUMA.ORG>
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