Based on grade of injury (above)
Grade I and II
observation, vital signs monitoring, bed rest, antibiotic prophylaxis, monitor hematuria
Prophylactic IV antibiotics for grade IV, V injuries (first generation cephalosporin, ciprofloxacin, or ampicillin and gentamicin)
Absolute indications for operative renal exploration and intervention:
Life-threatening hemorrhage
Expanding, pulsatile, or non-contained retroperitoneal hematoma
Renal avulsion injury
Page kidney treatment involves ACE inhibitor and possible drainage of hematoma
observation, vital signs monitoring, bed rest, antibiotic prophylaxis, monitor hematuria
Life-threatening hemorrhage
Expanding, pulsatile, or non-contained retroperitoneal hematoma
Renal avulsion injury
Renal trauma
Diaphragmatic trauma
Ureter trauma
Liver trauma
Bladder trauma
Splenic trauma
Renal abscess
Pelvic fractures