Daily question Its another emergency!!!!

[Scott Rand]

A 16 year old male snowboarder had an accident during the Olympic competition.  It was significant enough that it was decided to transport him to the hospital.  En route, he complained of left shoulder pain, but remained hemodynamically stable during transport.  At the hospital, his hemoglobin remained normal and stable throughout.  CT scanning with contrast revealed a Grade II Splenic injury.  Things to consider during his initial evaluation, management and disposition include:

A.      The spleen is rarely injured during sport

B.      Non-operative management would be preferred

C.      Splenic rupture is of minor concern in this patient

D.      Ultrasound is the preferred method of imaging in stable patients

E.       He should be vaccinated immediately

 

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Scott E Rand, MD  FAAFP CAQSM

Director, Primary Care Sports Medicine Fellowship

Co Director of Sports Medicine, Houston Methodist Orthopedics and Sports Medicine Willowbrook

Assistant Professor of Clinical Family Medicine  Houston Methodist Academic Institute

Adjunct Assistant Professor of Family and Community Medicine, Texas A&M University

Assistant Professor of Family Medicine in Clinical Medicine  Weill Cornell Medical College.

13802 Centerfield Dr  Suite 300

Houston, TX  77070