Abdominal/Pelvic CT scan with IV Contrast

1
Blunt abdominal trauma Response to resuscitation
Consider repeat FAST or DPA
Abdominal/Pelvic CT scan with IV Contrast
unstable
stable
negative
FAST
D
A
B
stabilize
Abdominal/pelvic CT scan with IV Contrast
Spleen Injury
positive
positive
negative
D
Nonoperative management
E
unstable
C
AAST Grade I, II
AAST Grade III
AAST Grade IV, V
Consider other causes for instability operating
room
F
G
Yes
H
Blush
Blush
yes
no
yes
Consider Angiography
Angiography
no
Operating Room
unstable
stable
failure
Observation
consider salvage
splenectomy
I