ABDOMINAL PENETRATING TRAUMA

Question 1

high risk of

Answer 1

gastrointestinal perforation and sepsis

Question 2

history:

Answer 2

size of blade, calibre/distance from gun, route of entry

Question 3

• local wound exploration under direct vision may determine:

Answer 3

lack of peritoneal penetration (not reliable

in inexperienced hands)

Question 4

local wound exploration under direct vision may determine lack of peritoneal penetration with the following exceptions:

Answer 4

■ thoracoabdominal region (may cause pneumothorax)

■ back or flanks (muscles too thick)

Question 5

PENETRATING TRAUMA Management

Answer 5

• general: ABCs, fluid resuscitation, and stabilization

* gunshot wounds always require laparotomy