Often first line approach when no<unk>  injury present
Limit fluid resuscitation
Nasogastric and bladder decompression
Electrolyte repletion
Antibiotics
Pressors with goal MAP 65
CRRT
Percutaneous fluid drainage (remove ascites if present)
Treat pain and adequately sedate
Reverse Trendelenburg
Consider metoclopramide
Definitive treatment
Laparotomy provides decompression
High complication rate
No guidelines for timing of closure
High complication rate
No guidelines for timing of closure
Abdominal compartment syndrome
Diaphragmatic trauma
Peritoneal dialysis-associated peritonitis
Liver trauma
Large bowel obstruction
Splenic trauma
Spontaneous bacterial peritonitis
Pelvic fractures