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Abdominal Trauma

Date Last Search Run: Feb 01, 2022
Table last updated: Aug 21, 2022
Data last added: Aug 19, 2022

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


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) 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) - 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

Stabilize Impaling Object
Level Direction Primary Outcome Patient/Process Setting Reference


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