Abdominal Travma

Sarsilmaz, Aysegul; Kocakoç, Ercan

doi:10.5152/trs.2016.389

Cited by 2 publications

(12 citation statements)

References 26 publications

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“…In order to reduce mortality in stable trauma patients, it is essential to quickly detect acute pathologies with CT and perform the necessary intervention. Since hemorrhagic shock can develop within minutes in trauma patients, it is vital for the emergency physician to see the acute pathology in the CT before the radiology interpretation and take the necessary intervention [5].…”

Section: Discussionmentioning

confidence: 99%

The evaluation level of acute trauma pathologies by the emergency medicine physician assistant in abdominal computed tomography images of the trauma patients

Soyugüzel

Ertekin

2022

Health Sci. Q.

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Abdominal injury is the third leading cause of death due to trauma. In this study, it is aimed to investigate the level of detection of acute trauma pathologies by the emergency medicine physician assistant in abdominal tomography images taken in trauma patients. Contrast-enhanced abdominal tomography images of 207 patients who applied with trauma between 12.15.2020 and 12.15.2021 were included in this study. In order to evaluate the images of the patients, the evaluation of the emergency medicine physician assistant was compared with the radiology official report. Patients’ age, gender, current complaints, symptoms, trauma classification, injury sites accompanying abdominal injury, hospitalization status and mortality rates were analyzed. The statistical distribution of the patients’ demographic and clinical information was calculated. The reports of the patients whose radiology official report was issued and the emergency medicine assistant forms were transferred to the SPSS program as “pathology exists” or “no pathology”. In the study, 79.2% (n=164) were male and 20.8% (n=43) were female. The median age was 33 years. In terms of interpretation of abdominal tomography, a statistically significant correlation was found between the radiologist and the emergency medicine physician assistant in the evaluation of liver, spleen and kidney; intra-abdominal and retroperitoneal hemorrhage, muscle and fascia injury of abdominal wall; vertebral, iliac, ischiatic, pubic bone, sacrum and femoral neck fracture. It was determined that 12.1% (n=25) of the patients were admitted to the intensive care unit and 5.3% (n=11) were died. High sensitivity, specificity, positive and negative predictive values were found in the evaluation of abdominal contrast-enhanced tomography imaging of patients admitted to the emergency department due to trauma by the emergency medicine assistant. We think that these high accuracy values are due to emergency medicine physician assistant’s evaluation of the patient’s history, physical examination and imaging studies as a whole.

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Section: Discussionmentioning

confidence: 99%

The evaluation level of acute trauma pathologies by the emergency medicine physician assistant in abdominal computed tomography images of the trauma patients

Soyugüzel

Ertekin

2022

Health Sci. Q.

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“…Bile leakage and fistulas can be detected by MRCP examination using liver-specific contrast material. Leakage and fistula can be easily demonstrated on images taken in the biliary phase [2]. The treatment is cholecystectomy.…”

Section: Injury Of the Gallbladder And Biliary Tractsmentioning

confidence: 99%

“…Isolated injuries are rare and are associated with other organ injuries in 70-90% of cases [2]. The liver is the most frequently injured organ in blunt and penetrating abdominal trauma [24].…”

Section: Liver Injurymentioning

confidence: 99%

“…Motor vehicle accidents, abdominal blows, and falls account for the majority of abdominal injuries. Less common causes of abdominal trauma include penetrating injuries, home accidents, and iatrogenic conditions [2].…”

Section: Introductionmentioning

confidence: 99%

“…Gunshot wounds result from the explosion effect (a combination of blunt and penetrating trauma associated with blasts). The causes of penetrating abdominal injuries include accidental, homicidal, iatrogenic, and gunshot wounds [2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Abdominal Trauma

Şahin¹,

Bali²,

Gencturk³

et al. 2023

Topics in Trauma Surgery

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Abdominal trauma accounts for 7–10% of hospital admissions due to trauma. Depending on the mechanism of occurrence, abdominal traumas are classified as either blunt or penetrating. The most important risk after trauma is hypovolemic shock. Deaths caused by blunt trauma are frequently the result of diagnostic difficulties and treatment delays. Abdominal surgery after traumatic injury is performed for two reasons; bleeding due to injury to vascular structures or a solid organ (e.g., spleen, liver, kidney) or injury due to perforation of a hollow organ (stomach, small intestine, colon, gallbladder). Patients may remain asymptomatic until they have lost 50–60% of their blood volume. Through inspection, auscultation, and palpation, the damaged organs and the presence of hemorrhage should be examined during the physical examination. The findings of peritoneal irritation are incredibly critical. Even though some studies indicate a mortality rate as high as 25.8% for abdominal injuries, the overall mortality rate is 10%. Other studies reveal mortality rates ranging from 15% to 17.1%. It should not be forgotten that the patient with abdominal trauma may have multi-trauma. The patient’s vital signs, abdominal examination, and hematocrit should be checked at frequent intervals. Early surgical evaluation is important. It is important to remember that the main source of bleeding and shock may be the abdomen.

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Abdominal Travma

Cited by 2 publications

References 26 publications

The evaluation level of acute trauma pathologies by the emergency medicine physician assistant in abdominal computed tomography images of the trauma patients

The evaluation level of acute trauma pathologies by the emergency medicine physician assistant in abdominal computed tomography images of the trauma patients

Abdominal Trauma

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