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Blunt splenic injury in haemodynamically stable patient — RCPSC EM MCQ

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ModerateTraumaBlunt splenic injury in haemodynamically stable patientRCPSC EM

CTAS 2: A 33-year-old snowboarder has left upper-quadrant pain after a fall. Vitals are BP 124/76, HR 94, GCS 15. FAST shows small free fluid and CT abdomen shows grade III splenic laceration without contrast blush. Haemoglobin is stable on repeat testing. What is the most appropriate disposition?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Admit under trauma surgery for non-operative monitoring

Stable blunt splenic injury without blush is commonly managed non-operatively with trauma admission, serial exams and haemoglobin monitoring.

Reference: ATLS; Canadian trauma centre practice