Abstract
In both acute and delayed presentations of abdominal trauma, children demonstrate compensatory mechanisms that can prolong time to diagnosis and treatment. The unique characteristics of a child’s anatomy and physiology should be considered. Children are particularly sensitive to the lethal trauma triad due to their comparatively poor ability to thermoregulate. Mitigation or avoidance of this triad is key to effective resuscitation and improved survival. Computed tomography remains the gold standard in radiological assessment; early communication between emergency and radiology teams is paramount to ensuring timely and appropriate studies. Surgical review is required for all children with intraabdominal injury; however, once stabilised, most children require nonoperative management provided there is access to continuous monitoring and appropriate surgical intervention, should it be required.
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