Diagnostic Peritoneal Lavage in Pediatric Trauma

Whole Body Imaging in Blunt Multisystem Trauma Patients Without Obvious Signs of Injury

“…Even in awake, evaluable patients, liberal scanning is advocated because of the unreliability of physical examination. [17][18][19][20][21][22] Some would argue that a CT scan has replaced physical examination in trauma.…”

Physical Examination is a Poor Screening Test for Abdominal-Pelvic Injury in Adult Blunt Trauma Patients

“…However, the appropriate abdominal evaluation is not clear for patients with a major trauma mechanism who are awake and clinically evaluable, and who have a normal abdominal exam. The accuracy of physical examination in detecting intra-abdominal injury has been questioned [2][3][4][5][6][7][8]. Liberal CT scanning of trauma patients may reveal unexpected findings in up to 38% of patients, prompting a change in treatment plan for 26% [9].…”

Open and Percutaneous Paracentesis and Lavage for Abdominal Trauma

“…[1][2][3][4][5][6][7][8][9][10][11] Accuracy rates have been reported as high as 98%,' resulting in the earlier recogni¬ tion of inapparent injury and the institution of appropriate therapy without delay. Unnecessary laparotomies have been avoided as well.1 Methods of performing abdominal paracentesis and lavage vary widely.…”