iarmsIARMSIARMS2709-3255https://doi.org/10.47310/iarms.2021.v02i02.014Determining the Management Modalities, Complications and Mortality in Blunt Trauma Abdomen: A Hospital Based Observational Study in a Tertiary Medical College of North IndiaRamBDhimanAGuptaAKGuptaJKumariSTrauma is reported to be the leading cause of death, hospitalization and long-term disabilities in first four decades of life. The objective of this study was to determinine the management modalities, complications and mortality in blunt trauma abdomen among the patients admitted in the department of General Surgery in Indira Gandhi Medical College, Shimla, Himachal Pradesh. Mean age of the patient was 37.13 years and out of 400 patients, 305 (76.25 %) patients were males while rest were females. In our study out of 400 patients, 17 patients of liver injuries had grade I-V injuries did not require operative intervention and none of the patients developed complications. Head injuries were found in 45 (11.25%) patients, spine injuries were present in 32(8%) patients, chest injuries were present in 16 (4%) patients and pelvis injuries were present in 2 (0.5%) patients. USG FAST is quite sensitive to screen for presence of free fluid in abdomen. Haemodynamic instability, persistent peritonism and hollow viscus perforation are indications for surgical intervention. Retroperitoneal haematoma/injuries can be missed on clinical and sonological assessment. Most of blunt trauma abdomen patients can be managed on conservative line with intensive monitoring and appropriate treatment.