Peritonitis Laparotomy Solid Organ Injury Observation

Positive FAST CT Scan Hollow Organ Injury Laparotomy

Stable
Hemodynamics
Clinical Doubt No Injury No Further Workup

Negative FAST

Blunt Reliable Exams No Further Workup

Positive FAST Laparotomy

Unstable
Hemodynamics
Positive DPL

Negative FAST

Negative DPL Observation

Anterior Abdomen
Abdominal Trauma Laparotomy
Except RUQ

RUQ

Gunshot Wound CT Scan

Tangential / Back /
Flank

Positive Laparotomy

Stable
Back / Flank CT Scan
Hemodynamics

Stab Wound Negative Observation

Cut Fascia in
DPL / CT
Exploration

Anterior Abdomen
Penetrating
Uncut Fascia Observation

Positive Laparotomy

Left
DPL / Laparoscopy
Either Gunshot or Stab Wound Thoracoabdominal

Thoracoscopy for
Negative
the Diaphragm

Unstable
Laparotomy
Hemodynamics