Hemostasis achieved in 86% vs. 78% with 1:1:2 ratio
AAST 2018 OIS revision for solid organ injuries
Vascular injury findings incorporated into grading
FAST utility meta-analysis: sensitivity 78%, specificity 99% for free fluid
Adjusted negative LR 0.26 for intra-abdominal injury
Diagnostic and clinical decision tools
ACEP six-variable clinical prediction rule for BAT
100% sensitivity for excluding injury requiring intervention
ACEP Level B recommendation
PedSRC rule for pediatric patients with BAT
Bowel Injury Prediction Score (BIPS)
Coding references
ICD-10 S36.0 splenic injury
ICD-10 S36.1 hepatic injury
ICD-10 S36.2 pancreatic injury
ICD-10 S37.0 renal injury
ICD-10 S36.4 small bowel injury
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