In severe multi system or penetrating trauma, the Resus team will be called.
Isolated abdominal trauma
If you suspect an abdominal injury in a patient with less severe trauma:
- Control haemorrhage if possible
- 1 or 2 large bore IV lines as appropriate
- Bloods for FBC, U&E, Group and save / X-match, amylase
- Examine urine
- Seek senior ED/ surgical advice.
Macroscopic haematuria following trauma
- Seek senior ED advice.
- Discuss with urology.
- Consider CT.
Microscopic haematuria
- Of little significance in absence of other signs.