![]() The physical exam may reveal marks from a lap belt, ecchymosis, abdominal distention, absent bowel sounds and tenderness to palpation. Besides pain, the patient may present with bleeding per rectum, unstable vital signs, and the presence of peritonitis. History and Physicalīecause the presentation is often not straightforward, the diagnosis can be difficult and often time-consuming. Patients can also present with extra-abdominal injuries such as extremity injuries. Pathophysiologyīlunt abdominal trauma can cause damage to the internal organs, resulting in internal bleeding, cause contusions, or injuries to the bowel, spleen, liver, and intestines. Each year thousands of patients with blunt abdominal injury are seen in emergency departments, and this substantially increases the cost of healthcare. Epidemiologyīlunt trauma to the abdomen can occur in people of all ages and is associated with a high morbidity. In children, the most common causes are due to motor vehicle injuries and bicycle accidents. Other rare causes include falls from heights, bicycle injuries, injuries sustained during sporting activities, and industrial accidents. The chief cause of blunt abdominal trauma in the United States is motor vehicle accidents. ![]() Describe how an interprofessional team can collaborate to improve the rapid diagnosis, resuscitation, evaluation, and management of this condition and education of patients about safe driving to prevent blunt abdominal trauma.Ībdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children.Explain the management and rehabilitation strategies for patients with blunt abdominal trauma.Outline the clinical presentation of blunt abdominal trauma. ![]() Describe the types of injuries sustained in blunt abdominal trauma.This activity describes the clinical presentation, evaluation, and management of blunt abdominal trauma and the importance of the interprofessional team in educating patients on prevention of abdominal injuries. This effect can only occur once per life each round.Īs long as you are wearing a full clown outfit, you gain Clown Power.Ĭlown Power allows you to honk your horn to give nearby characters an additional 30% skill gain for a short while.Ĭlown Power gives you an additional 25% physical damage resistance.Ĭlown Power allows you to honk your horn to slowly heal nearby allies.Ĭlown Power allows you to hit characters with a Toy Hammer for a 0.75% chance to implode them.Abdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children. Whenever you fall below 0 health, rapidly heal normal damage types and remove stun over a short duration. ![]() Whenever you are attacked, gain an additional 30% physical damage resistance and 30% Stun resistance for 4 seconds. As long as you are inside your submarine, gain a bonus of 20 to Medicine. When you inflict burning damage on an enemy, gain 40% physical damage resistance for 5 seconds.Īs long as you are outside your sub, take 25% less physical damage. When you play a guitar, you and allies near you gain the following attributes for up to 480 seconds: When you are below 50% health, normal damage types slowly heal by themsleves. Giving an order to a new character removes the effect from the last character. Whenever you give an order to another character, apply Inspiration to that character, giving them 25% physical damage resistance and a bonus of 10 to all skills. When you play a Harmonica, a random ally on your current submarine has a 4% chance to gain a random skill point every second. Gain 25% physical damage resistance and 50% stun resistance while drunk. The area is an ugly shade of purple, and apparently very painful to touch. Inflicted by fall damage and blunt weapons, such as the Crowbar or Wrench.
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