Significant hemoperitoneum in blunt trauma victims with normal vital signs and clinical examination

Michael Blaivas, Paul Sierzenski, Daniel Theodoro

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Clinical examination of the abdomen is generally reliable in stable trauma patients with no distracting or head injury. Patients involved in relatively minor trauma with normal examinations can be safely sent home in most instances. We report 6 cases of blunt abdominal trauma that had completely normal clinical examinations and vital signs but were found to have significant hemoperitoneum on trauma ultrasound examination. Four of the patients were examined for educational purposes just before planned discharge from the emergency department. These cases suggest that a screening ultrasound examination may have a role in the evaluation of most blunt trauma patients.

Original languageEnglish
Pages (from-to)218-221
Number of pages4
JournalAmerican Journal of Emergency Medicine
Volume20
Issue number3
DOIs
StatePublished - Jan 1 2002

Keywords

  • Blunt trauma
  • Emergency medicine
  • Emergency ultrasonography
  • Hemoperitoneum
  • Ultrasound
  • Unsuspected hemoperitoneum

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