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E1927. A Night in a Level 1 Trauma Center: A Review of Common Abdomino-Pelvic Traumatic Pathology
Authors
  1. Taylor Standiford; Temple University Hospital
  2. Omar Agosto; Temple University Hospital
  3. Neilesh Gupta; Temple University Hospital
  4. Robert Mcsweeney; Temple University Hospital
  5. Blachy Davila; Temple University Hospital
  6. Santhosh Cherian; Temple University Hospital
  7. Bhishak Kamat; Temple University Hospital
Background
Based on Center for Disease Control (CDC) data 2.8 million people in the US were hospitalized for injuries in 2015 and approximately 27.6 million were treated in the Emergency Department. Traumatic injuries/complications are a significant problem as they can have long term implications which can affect patients in different aspects such as long term physical impairments and can have significant socioeconomic impact. Early and accurate identification of different type of injuries is important to help in determining immediate management decisions and help minimize long term impact. The purpose of this presentation is to review findings related to blunt and penetrating abdomino-pelvic injuries and in doing so help with the early management.

Educational Goals / Teaching Points
Identify the most common pathology from a level one trauma center, divided into blunt and penetrating trauma. Identification of imaging pitfalls of trauma pathology and trouble shooting ideas to make the appropriate diagnosis. In the end, review multiple sample cases from our busy inner-city level one trauma center.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Review of injury classification systems for: liver, spleen and kidney injuries. Review of bowel and mesenteric injuries. Review of vascular injuries. Review of GU injuries. Review of all of these systems based on the mechanism of injury, which is divided into blunt and penetrating trauma. Review of the imaging techniques including CT protocols.

Conclusion
Traumatic injuries have long term implications which affect patients in different aspects such as physical impairments and also can have socioeconomic impact. By recognizing the various injury patterns, one is better equipped to diagnose and subsequently treat these injuries in a timely fashion. This review of common traumatic abdomino-pelvic pathology at a level 1 trauma center may serve as a foundation for this knowledge.