Liver injuries grade I-III should be treated non-operatively. In case of active bleeding (diagnosed by CT scan), an angiographic embolization should be performed in patients with injuries grade I-IV. However, the following conditions should be fulfilled:
■ Patient without altered level or loss of consciousness
■ Hemodynamic stability or rapid stabilization after initial fluid resuscitation
■ Exclusion of hypothermia, acidosis or severe coagulopathy
■ No doubt about another abdominal lesion
■ Intensive care unit available with continuous pulse and arterial blood pressure monitoring, repeated measurements of Hb, Hct and coagulation parameters, and careful follow-up clinical examination and sonography
■ Availability of a surgical team
■ Arteriography and experienced radiologist available
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