Blunt splenic injuries

[Ronald Gross]

Jeff,

I agree completely with your definition of "stability"....for what that's worth!  

Take care,
Ron


>>> Jeffrey Hammond <hammond at umdnj.edu> 5/7/2008 2:59 AM >>>
Isolated spleen injury with hemodynamic stability -->> observe in intermediate care unit, generally for 1 day if grade 1-III and 1-2 days if grade IV. 
N.B: "stability" implies not tachycardic. 
 
Jeffrey Hammond MD, MPH
New Brunswick, NJ

----- Original Message -----
From: Ian Seppelt <seppeli at wahs.nsw.gov.au>
Date: Wednesday, May 7, 2008 2:50 am
Subject: Blunt splenic injuries
To: trauma-list at trauma.org 

> 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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