Penetrating Abdominal Trauma

As with any trauma, the management of penetrating abdominal trauma begins with the primary survey and the ABCs (Airway, Breathing, and Circulation). After the patient’s airway is controlled, two large-bore peripheral intravenous lines should be placed (18 gauge or larger) and fluid resuscitation begun immediately. If the patient remains unstable after 2 L of crystalloid, blood should be administered. If cross-matched blood is not readily available, type O blood (Rh negative for female patients of childbearing age) or typespecific blood may be safely transfused. A quick assessment of any immediately life-threatening injuries should be undertaken and the patient should be disrobed.