ABSTRACT
Abdominal trauma remains a cause of significant morbidity in children despite advances in the care of these patients. Blunt injuries account for approximately 90% of pediatric trauma. According to a review of several trauma databases, approximately 8%-12% of children suffering blunt trauma will have an intra-abdominal injury. This chapter reviews the current management patterns for blunt and penetrating abdominal trauma with attention to the most current practice and literature. It discusses a few aspects of care that are unique to the pediatric trauma patient. The chapter includes some novel approaches to imaging and treatment that have contributed to progress in the field. Emergent care of the trauma patient follows a predictable sequential algorithm that has been validated through evidence for adults and children. Advanced Trauma Life Support mandates confirmation of a patent airway, adequate breathing, and appropriate circulation with assessment of neurologic disability at presentation and with each change in clinical status.
