TY - CHAP M1 - Book, Section TI - Abdominal Trauma A1 - Britt, L.D. A1 - Burgess, Jessica A2 - Zinner, Michael J. A2 - Ashley, Stanley W. A2 - Hines, O. Joe PY - 2019 T2 - Maingot's Abdominal Operations, 13e AB - No anatomical region or cavity is exempt when addressing injuries sustained when managing multi-trauma patients, especially if the traumatic injury is the result of a blunt mechanism. This cornerstone principle is the paramount rationale for the two-tier, systematic approach for the injured patient. In most settings, the acute care surgeon (a specialist who has expertise in trauma, critical care, and emergency general surgical management) is heavily involved in every aspect of care of the trauma patient. Abdominal trauma, regardless of the mechanism of injury, can present many challenging situations, even for the most well trained and talented surgeon. With the pendulum continuing to move more toward nonoperative/selective management of abdominal trauma due to enhanced diagnostic modalities, the hazards of missed or delayed diagnoses are well known and equally well respected. The unevaluable abdomen in a patient who has an associated closed head injury or substantial intoxication with a depressed sensorium remains a perplexing dilemma, irrespective of an unprecedented myriad of advanced technology designed to detect the sequence of intra-abdominal injury. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1160039111 ER -