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Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2023 Mar 01;94(3):455-460

Date

11/19/2022

Pubmed ID

36397206

DOI

10.1097/TA.0000000000003794

Scopus ID

2-s2.0-85148678166 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

BACKGROUND: The Western Trauma Association (WTA) has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations, or scarcity of experience and cases. Blunt pancreatic trauma falls under one of these clinically complex and rare scenarios. This algorithm is the result of an extensive literature review and input from the WTA membership and WTA Algorithm Committee members.

METHODS: Multiple evidence-based guideline reviews, case reports, and expert opinion were compiled and reviewed.

RESULTS: The algorithm is attached with detailed explanation of each step, supported by data if available.

CONCLUSION: Blunt pancreatic trauma is rare and presents many treatment challenges.

Author List

Moren AM, Biffl WL, Ball CG, de Moya M, Brasel KJ, Brown CVR, Hartwell JL, Inaba K, Ley EJ, Moore EE, Peck KA, Rizzo AG, Rosen NG, Sperry JL, Weinberg JA, Coimbra R, Shatz DV, Martin MJ

Author

Marc Anthony De Moya MD Chief, Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Abdominal Injuries
Algorithms
Humans
Multiple Trauma
Pancreas
Thoracic Injuries
Wounds, Nonpenetrating