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Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma—2016 updates

Rowell, Susan E. MD; Biffl, Walter L. MD; Brasel, Karen MD; Moore, Ernest E. MD; Albrecht, Roxie A. MD; DeMoya, Marc MD; Namias, Nicholas MD; Schreiber, Martin A. MD; Cohen, Mitchell J. MD; Shatz, David V. MD; Karmy-Jones, Riyad MD; Moore, Frederick A. MD

Journal of Trauma and Acute Care Surgery: April 2017 - Volume 82 - Issue 4 - p 787–793
doi: 10.1097/TA.0000000000001323
WTA 2015 Algorithm

From the Oregon Health & Science University, Portland, Oregon (S.E.R., M.A.S., K.B.); The Queen's Medical Center, University of Hawaii, Honolulu, Hawaii (W.B.); College of Medicine, University of Oklahoma, Oklahoma City, Oklahoma (R.A.A.); University of California, San Francisco, San Francisco, California (M.J.C.); Massachusetts General Hospital, Boston, Massachusetts (M.D.); Legacy Emanuel Hospital, Portland, Oregon (R.K.-J.); Denver Health Medical Center, Denver, Colorado (E.E.M.); University of Miami, Miami, Florida (N.N.); University of California, Davis, Sacramento, California (D.V.S.); and University of Florida College of Medicine, Gainesville, Florida (F.A.M.).

Submitted: March 11, 2016, Revised: October 6, 2016, Accepted: October 20, 2016, Published online: November 23, 2016.

Presented at the 45th annual meeting of the Western Trauma Association, March 1–6, 2015, in Telluride, Colorado.

This algorithm has not been published elsewhere.

Disclaimer: The Western Trauma Association (WTA) develops algorithms to provide guidance and recommendations for particular practice areas but does not establish the standard of care. The WTA algorithms are based on the evidence available in the literature and the expert opinion of the task force in the recent timeframe of the publication. The WTA considers use of the algorithm to be voluntary. The ultimate determination regarding its application is to be made by the treating physician and health care professionals with full consideration of the individual patient's clinical status as well as available institutional resources; it is not intended to take the place of health care providers' judgment in diagnosing and treating particular patients.

Address for reprints: Susan E. Rowell, MD, MCR, 3181 SW Sam Jackson Park Rd, L611, Portland, OR 97239; email:

© 2017 Lippincott Williams & Wilkins, Inc.