As with any trauma, the management of penetrating abdominal trauma begins with the primary survey and the ABCs (Airway, Breathing, and Circulation). After the patient’s airway is controlled, two large-bore peripheral intravenous lines should be placed (18 gauge or larger) and fluid resuscitation begun immediately. If the patient remains unstable after 2 L of crystalloid, blood should be administered. If cross-matched blood is not readily available, type O blood (Rh negative for female patients of childbearing age) or typespecific blood may be safely transfused. A quick assessment of any immediately life-threatening injuries should be undertaken and the patient should be disrobed.
KeywordsAbdominal Trauma Gunshot Wound Diagnostic Peritoneal Lavage Secondary Survey Hollow Viscus Injury
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