VOLUME 26 ISSUES 1 | 2024

Abdominal trauma in the emergency department: patterns, evaluation, and management strategies

1Farda Ur Rehman, 2Kaynat Anwar, 3Ammara Rafi, 4Safoora Khalil, 5Muhammad Afaq 6Kabir,Huma Azam

1DHQ mirpur Azad Jammu and Kashmir
2Dhq teaching Hospital Mirpur A.J.K
3DHQ Hospital Mirpur AJK
4Sheikh khalifa bin Zayd Hospital Muzaffarabad
5Divisional headquarter and teaching hospital Mirpur
6Dhq teaching hospital Mirpur AJ&K

ABSTRACT
Background: Abdominal trauma was a common presentation in the emergency department and could range from mild injuries to life-threatening conditions. Understanding the patterns of abdominal trauma was essential for effective management and improved patient outcomes.
Aim: This study aimed to analyze the patterns of abdominal trauma cases in the emergency department, assess the evaluation techniques employed, and explore effective management strategies to enhance patient care.
Methods: A retrospective analysis was conducted on a cohort of patients who presented with abdominal trauma at a tertiary care emergency department over a three-year period. Patient demographics, injury mechanisms, clinical evaluations, diagnostic imaging modalities, and management strategies were reviewed and analyzed.
Results: Our analysis revealed a diverse range of patterns in abdominal trauma, with the most common causes being motor vehicle accidents, falls, and interpersonal violence. Clinical evaluation techniques, such as physical examination and ultrasound, played a crucial role in the initial assessment of these patients. Advanced imaging, including computed tomography (CT) scans, enhanced diagnostic accuracy. The management strategies included non-operative management for stable patients and surgical intervention for those with significant injuries. Additionally, patient outcomes were positively correlated with prompt and accurate assessment.
Conclusion: Abdominal trauma in the emergency department presented a multifaceted challenge, with diverse patterns and severity. Accurate evaluation, including a combination of clinical assessment and advanced imaging, was crucial for effective management. Tailored strategies, which might include non-operative approaches, were essential to optimize patient care and outcomes. This study emphasized the importance of a systematic approach to abdominal trauma, aiming to minimize morbidity and mortality associated with these injuries.
Keywords: Abdominal trauma, emergency department, injury patterns, evaluation, management strategies, diagnostic imaging, patient outcomes.