Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
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- Direct epigastric blow compressing pancreas against vertebral column resulting in blunt trauma
- Injury to pancreas from penetrating object
- Trauma affects proportionately larger areas, leading to multisystem injuries.
- Children have less protective muscle and SC tissue.
- Malpositioned seat belts and child abuse need to be considered in small children.
- Children will less often present with hypotension.
- Penetrating trauma: Most common mechanism
- Blunt trauma: Deep location of pancreas requires significant force to cause injury:
- Steering wheel, seat belts, or bicycle handlebars to abdomen
- In children, evaluate for nonaccidental trauma
Commonly Associated Conditions90% of pancreatic injuries associated with injuries to adjacent structures:
- Liver, stomach
- Major arteries and veins
- Spleen, kidney
- Duodenum, colon, small bowel
- Common bile duct, gallbladder
- Spine: Chance fracture