Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma - 2016 updates

Susan Rowell; Walter L. Biffl; Karen Brasel; Ernest E. Moore; Roxie A. Albrecht; Marc Demoya; Nicholas Namias; Martin A. Schreiber; Mitchell J. Cohen; David V. Shatz; Riyad Karmy-Jones; Frederick A. Moore

doi:10.1097/TA.0000000000001323

Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma - 2016 updates

Susan Rowell, Walter L. Biffl, Karen Brasel, Ernest E. Moore, Roxie A. Albrecht, Marc Demoya, Nicholas Namias, Martin A. Schreiber, Mitchell J. Cohen, David V. Shatz, Riyad Karmy-Jones, Frederick A. Moore

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Abstract

This is an updated position article from members of theWestern Trauma Association (WTA). It includes recommendations for the management of blunt splenic injury in adult trauma patients based on literature available since the last WTA position article in 2008.1 There remain no prospective randomized trials of the management of blunt splenic injury in adults, in part due to the inherent difficulties of designing such a trial. This algorithm and associated recommendations are based primarily on observational studies and expert opinion. Considerable variability in the management of blunt splenic injury will continue. Individual institutions and practitioners are encouraged to make management decisions based on local resources and consensus opinion. The algorithm contains letters A through I, which correspond to the lettered text in the manuscript. As in the previous position article, the text is designed to clarify the algorithm and explain the rationale for the recommendations.

Original language	English (US)
Pages (from-to)	787-793
Number of pages	7
Journal	Journal of Trauma and Acute Care Surgery
Volume	82
Issue number	4
DOIs	https://doi.org/10.1097/TA.0000000000001323
State	Published - Apr 1 2017

ASJC Scopus subject areas

Surgery
Critical Care and Intensive Care Medicine

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Rowell, S., Biffl, W. L., Brasel, K., Moore, E. E., Albrecht, R. A., Demoya, M., Namias, N., Schreiber, M. A., Cohen, M. J., Shatz, D. V., Karmy-Jones, R., & Moore, F. A. (2017). Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma - 2016 updates. Journal of Trauma and Acute Care Surgery, 82(4), 787-793. https://doi.org/10.1097/TA.0000000000001323

Rowell, S, Biffl, WL, Brasel, K, Moore, EE, Albrecht, RA, Demoya, M, Namias, N, Schreiber, MA, Cohen, MJ, Shatz, DV, Karmy-Jones, R & Moore, FA 2017, 'Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma - 2016 updates', Journal of Trauma and Acute Care Surgery, vol. 82, no. 4, pp. 787-793. https://doi.org/10.1097/TA.0000000000001323

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title = "Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma - 2016 updates",

abstract = "This is an updated position article from members of theWestern Trauma Association (WTA). It includes recommendations for the management of blunt splenic injury in adult trauma patients based on literature available since the last WTA position article in 2008.1 There remain no prospective randomized trials of the management of blunt splenic injury in adults, in part due to the inherent difficulties of designing such a trial. This algorithm and associated recommendations are based primarily on observational studies and expert opinion. Considerable variability in the management of blunt splenic injury will continue. Individual institutions and practitioners are encouraged to make management decisions based on local resources and consensus opinion. The algorithm contains letters A through I, which correspond to the lettered text in the manuscript. As in the previous position article, the text is designed to clarify the algorithm and explain the rationale for the recommendations.",

author = "Susan Rowell and Biffl, {Walter L.} and Karen Brasel and Moore, {Ernest E.} and Albrecht, {Roxie A.} and Marc Demoya and Nicholas Namias and Schreiber, {Martin A.} and Cohen, {Mitchell J.} and Shatz, {David V.} and Riyad Karmy-Jones and Moore, {Frederick A.}",

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AU - Demoya, Marc

AU - Namias, Nicholas

AU - Schreiber, Martin A.

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AU - Karmy-Jones, Riyad

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AB - This is an updated position article from members of theWestern Trauma Association (WTA). It includes recommendations for the management of blunt splenic injury in adult trauma patients based on literature available since the last WTA position article in 2008.1 There remain no prospective randomized trials of the management of blunt splenic injury in adults, in part due to the inherent difficulties of designing such a trial. This algorithm and associated recommendations are based primarily on observational studies and expert opinion. Considerable variability in the management of blunt splenic injury will continue. Individual institutions and practitioners are encouraged to make management decisions based on local resources and consensus opinion. The algorithm contains letters A through I, which correspond to the lettered text in the manuscript. As in the previous position article, the text is designed to clarify the algorithm and explain the rationale for the recommendations.

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Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma - 2016 updates

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