.

Algoritma dan Prosedur Algoritma

BLUNT ABDOMINAL TRAUMA

Peritonitis/ Overt Haemoperitoneum Ruptured Diaphragm, Evisceration No Hemodinamically stable

Yes

Expl. Lap

Hemodinamically Unstable Suggesting Hemorrhage No US DPL

Yes

Reliable PE?

Abdomen Tenderness Multi rib Fract Abd. Wall Contusion Equivocal Findings ? No

Yes

US DPL US

DPL

Free Fluid Identified?

Free Fluid Identified? No Yes

Iration of gross blood RBC > 100K/ mm3 WBC > 500/ mm3 Particulate matter Bile

Yes

No

Admid Series PE

Yes

Expl. Lap
CT Scan Solid Visceal Injury? Solid Visceral Injury

No

Yes

Yes

No

Consider Expl. Lap

Consider Non Operative Managemen

Consider Expl. Lap

- Continue Resuscitation - Evaluate other potential source of shock - Repead US - DPL

- Continue Resuscitation - Evaluate other potential source of shock - Repeat US