Unstable
FAST to search for free fluid (vs. DPL if unavailable)
Positive: Exploratory laparotomy
Negative: CT scan
Stable
CT scan
Exploratory laparotomy, angiographic embolization, conservative management as indicated
FAST to search for free fluid (vs. DPL if unavailable)
Positive: Exploratory laparotomy
Negative: CT scan
Positive: Exploratory laparotomy
Negative: CT scan
CT scan
Exploratory laparotomy, angiographic embolization, conservative management as indicated
Exploratory laparotomy, angiographic embolization, conservative management as indicated
Subcapsular: <10% surface area
Capsular tear: <1 cm in depth
Subcapsular: 10-50% surface area
Intraparenchymal: <10 cm diameter
Capsular tear: 1-3 cm depth, <10 cm length1–3 cm
Subcapsular: >50% surface area, or ruptured with active bleeding
Intraparenchymal: >10 cm diameter
Capsular tear: >3 cm depth
Ruptured intraparenchymal with active bleeding
Parenchymal disruption involving 25-75% hepatic lobe or involves 1-3 Couinaud segments (within one lobe)
Ruptured intraparenchymal with active bleeding
Parenchymal disruption involving >75% of hepatic lobe or involves >3 Couinaud segments (within one lobe)
Juxtahepatic venous<unk> es (inferior vena cava, major hepatic vein)
Hepatic avulsion
Liver injury
Diaphragmatic trauma
Hepatic encephalopathy
Liver trauma
Ammonia toxicity
Splenic trauma
Bath salts toxicity
Pelvic fractures