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Updated APSA Blunt Liver/Spleen Injury Guidelines 2019

Updated APSA Blunt Liver/Spleen Injury Guidelines 2019

References
• Acker et al. Lack of utility of repeat monitoring of hemoglobin and hematocrit following blunt solid organ injury in children. J Trauma Acute Care Surg 2015. 79 (6): 991-994.
• Gates et al. Non-operative management of solid organ injuries in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee systematic review. J Pediatr Surg. 2019 Jan 31. epub
• Golden et al. Admission hematocrit predicts the need for transfusion secondary to hemorrhage in pediatric blunt trauma patients. J Trauma Acute Care Surg 2015. 79 (4):555-562.
• Ingram et al. Hepatic and splenic blush on computed tomography in children following blunt abdominal trauma: Is intervention necessary? J Trauma Acute Care 2016. Surg 81 (2):266-270.
• Notrica et al. Nonoperative management of blunt liver and spleen injury in children: Evaluation of the ATOMAC guideline using GRADE. J Trauma Acute Care Surg 2015. 79 (4): 683-693
• St Peter SD et al. Follow up of prospective evaluation of bedrest protocol in the management of blunt spleen and liver injury in children. Journal of Pediatric Surgery (2013) 48, 2437–2441.
 

April 16, 2019 – Approved by APSA Board of Governors

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