Good to know: Intraabdominal injuries are often associated
with low rib fractures, fractured femur, fractured pelvis, and thoracic in
jury. If any of these injuries are present, the patient should be observed for
abdominal trauma.
"Trauma is the fourth leading cause of death in the
United States. Trauma is the leading cause of death in children and in adults
younger than 44 years."
"If forensic evidence is to be collected nurses
must be careful not to cut through or disrupt any tears, holes, blood stains,
or dirt present on the clothing if criminal activity is suspected."
Two types of intraabdominal trauma: Compression and shearing
injuries.
-Compression
injuries are any direct blows to the abdomen or when an external force is
applied to the body and an organ is compressed between two hard surfaces
-Shearing/deceleration
injuries are caused by a rapid deceleration allowing some tissue to move
forward while other tissues are held stationary, as in motor vehicle accidents.
Common injuries to the abdomen include: lacerated liver,
ruptured spleen, pancreatic trauma, mesenteric artery tears, diaphragm rupture,
urinary bladder rupture, great vessel tears, renal injury, and stomach or
intestine rupture.
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