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Nonoperative management of blunt abdominal trauma - is it safe and feasible in a district general hospital
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 05/14/09
Giannopoulos GA et al. - The hemodynamically stable or easily stabilized trauma patient can be admitted in a non-ICU ward with the provision of close monitoring. Splenic injury, especially with multiple-site free intra-abdominal fluid in abdominal computed tomography, carries a high risk for NOM failure. In this series, the main criterion for a laparotomy in a NOM patient was hemodynamic deterioration after a second rapid fluid load.
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