Blunt splenic injuries

[Ronald Gross]

Completely stable with NO prehospital hypotension - on the floor for Grade I -> III.  > Grade III and any question of extrav, angio then stepdown, NOT ICU.  IMHO, If the surgeon is thinking about putting the patient in an ICU when initially evaluating the patient in the ED, then that surgeon should go to the angio suite with the patient, not the ICU.......and just maybe even the OR.  That does happen, you know!  ;-)

Best wishes,
Ron
>>> "Ian Seppelt" <seppeli at wahs.nsw.gov.au> 5/7/2008 2:49 AM >>>
Quick and dirty survey:

Where do you nurse haemodynamically stable patients with an isolated
spleen injury being managed conservatively, and no other injuries? ICU?
General ward? Higher acuity ward?
What acuity of nursing? What monitors? 
Does the exact CT grade of injury matter, or merely the fact that the
patient is stable and the trauma surgeon is comfortable to watch?

Many thanks,

Ian

correspondence to: seppelt at med.usyd.edu.au 

Ian Seppelt FANZCA FJFICM
Senior Staff Specialist
Dept of Intensive Care Medicine
The Nepean Hospital, PO Box 63 Penrith NSW 2751
Director of Clinical Research, Sydney West AHS
Clinical Lecturer, University of Sydney

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