Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Graduation


Degree Type

Capstone Project (On-Campus Access Only)

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Judy A. Ortiz, PA-C, MHS, MS


OBJECTIVE: To determine whether initial nonoperative management (NOM) of hemodynamically stable splenic injured adult patient can be safely conducted on the ward. DESIGN: Retrospective medical record and Trauma Registry review. SETTING: Level one trauma center. PATIENTS: One hundred thirty five patients, who had been admitted, over five years, and initially managed nonoperatively for splenic injury were selected for this study. Nonety-five of these patients were male and 40 female. The mean (+/- SD) age was 29 +/- 18 years and the mean (+/- SD) Injury Severity Score (ISS) was 17 +/- 10.6. There were 99 patients initially managed in teh ICU and an unexpected group of 36 patients who were managed on the ward. MEASURES: We examined ISS, AIS, length of stay (LOS), emergency department vital signs, transfusions, and outcome between the two groups. RESULTS: Patients selected for NOM on the ward had a statistically significant lower ISS scores (P


The digital version of this project is currently unavailable to off-campus users; however, it may be requested via interlibrary loan by eligible borrowers from Pacific University Library. Pacific University Library is a free lender. (Library Use: NL)