Abdominal Trauma Date Last Search Run: Jan 07, 2023 Table last updated: Nov 30, 2022 Data last added: Nov 28, 2022

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)				Stabilize Impaling Object
	2 (fair evidence exists)	FAST
	3 (weak evidence exists)		Direct Pressure

Interventions

Direct Pressure

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Neutral (Yellow)	Mortality	Patient	PH-Paramedic	Chaudery M., Clark J., Wilson MH., Bew D., Yang GZ., Darzi A. Traumatic intra-abdominal hemorrhage control: Has current technology tipped the balance toward a role for prehospital intervention? J Trauma Acute Care Surg 2015; 78(1):153-63. Medline

FAST

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Supportive (Green)	Door to CT time	Process	PH-MD & CCT	Gamberini L, Tartaglione M, Giugni A, Alban L, Allegri D, Coniglio C, et al. The role of prehospital ultrasound in reducing time to definitive care in abdominal trauma patients with moderate to severe liver and spleen injuries. Injury 2021. Medline
III	Supportive (Green)	Frequency of indications	Process	PH-Paramedic & CCT	Lenz TJ, Phelan MB, Grawey T. Determining a Need for Point-of-Care Ultrasound in Helicopter Emergency Medical Services Transport. Air Med J 2021; 40(3):175–8. Medline
III	Supportive (Green)	Diagnostic Accuracy	Process	PH-Paramedic	Ienghong K, Cheung LW, Tiamkao S, Bhudhisawasdi V, Apiratwarakul K. The Utilization of Handheld Ultrasound Devices in a Prehospital Setting. Prehosp Disaster Med 2022; 37(3):355–9. Medline
III	Supportive (Green)	Time elapsed from prehospital FAST to arrival in trauma room	Patient	PH-Paramedic & MD	Lucas B, Hempel D, Otto R, Brenner F, Stier M, Marzi I, et al. Prehospital FAST reduces time to admission and operative treatment: a prospective, randomized, multicenter trial. Eur J Trauma Emerg Surg 2021. Medline
X	Not Yet Graded (White)	-			Lucas B, Hempel D, Otto R, Brenner F, Stier M, Marzi I, et al. Prehospital FAST reduces time to admission and operative treatment: a prospective, randomized, multicenter trial. Eur J Trauma Emerg Surg 2021. Medline

Stabilize Impaling Object

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference