NonOpManagementOfAdultBluntHepaticTrauma
Patient becomes unstable Historical Perspective Introduction P O N M L K J I H G F E DPA D C B ERCP + Sphincterotomy Continued biliary drainage? Successful management? Continue Observation Laparoscopy with drainage Bile ascites/hemoperitoneum IR IR Continued transfusion requirements or unstable Biloma Liver abscess Repeat CT scan SIRS Abdominal pain Jaundice Fever Observation Angioembolization Blush? CT Scan Liver injury Operative Intervention Consider other causes of instability FAST A Initial Assessment of BLT Abdominal exam Vital signs Response...