Alternative MedicinesInfectionInjuries
   Arm or Leg Fractures
   Blunt Chest Injuries
   Blunt and Penetrating Abdominal Injuries
   Cerebral Contusion
   Cold Injuries
   Decompression Sickness
   Dislocated or Fractured Jaw
   Dislocations and Subluxations
   Electric Shock
   Fractured Nose
   Heat Syndrome
   Insect Bites and Stings
   Near Drowning
   Open Trauma Wounds
   Penetrating Chest Wounds
   Perforated Eardrum
   Poisonous Snakebites
   Radiation Exposure
   Rape Trauma Syndrome
   Skull Fractures
   Spinal Injuries
   Sprains and Strains
   Traumatic Amputation
   Whiplash Injuries

Blunt And Penetrating Abdominal Injuries

Blunt and penetrating abdominal injuries may damage major blood vessels and internal organs. Such injuries are potentially fatal; the prognosis depends on the extent of injury and the organs damaged but is improved by prompt diagnosis and surgical repair.


Blunt (non penetrating) abdominal injuries usually result from motor vehicle crashes, fights, falls from heights, and sports accidents. Penetrating abdominal injuries usually result from stabbings and gunshots.


  • history of the incident
  • pale, cool, clammy skin
  • may be evidence of wound
  • rapid, weak pulse, with evidence of shock
  • rapid, shallow breathing
  • abdominal rigidity
  • 'guarding' of abdomen - foetal position if lying down
  • may be incontinent

Diagnostic tests

Specific tests vary with the patient's condition but usually include abdominal X-rays and examination of the stools and stomach contents for blood. Chest X-rays, preferably done with the patient upright, may show free air from suspect ruptured organs.


The patient needs an immediate infusion of I.V. fluids and blood components to control hemorrhage and prevent hypovolemic shock.

The patient also may require intubation and mechanical ventilation or supplemental oxygen, as well as insertion of a nasogastric (NG) tube and an indwelling urinary catheter.

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