Citation

Revell MA, Pugh MA, McGhee M. Crit. Care Nurs. Clin. North Am. 2018; 30(1): 157-166.

Affiliation

Department of Structural Heart, St. Thomas West Hospital, 4330 Harding Road, Suite 535, Nashville, TN 37205, USA.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.cnc.2017.10.014

PMID

29413211

Abstract

The abdomen is a big place even in a small person. Gastrointestinal trauma can result in injury to the stomach, small bowel, colon, or rectum. Traumatic causes include blunt or penetrating trauma, such as gunshot wounds, stabbings, motor vehicle collisions, and crush injuries. Nontraumatic causes include appendicitis, Crohn disease, cancer, diverticulitis, ulcerative colitis, blockage of the bowel, and chemotherapy. The mechanism of injury will affect both the nature and severity of any resulting injuries. Treatment must address the critical and emergent nature of these injuries as well as issues that affect all trauma situations, which include management of hemodynamic instability.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

Keywords

Gastrointestinal trauma; Hemorrhagic shock; OPQRST; SAMPLE; Trauma