Closed Closed abdominal injuries are caused by a severe blow or crushing injury, where the skin remains intact. Death is usually caused by bleeding into the abdomen. A complication known as peritonitis, usually the result of a rupture of the intestines, is not seen immediately but develops later and can be fatal. Intense pain, nausea, vomiting, and spasm of the abdominal muscle. Tenderness, distention, muscle rigidity, and shock.
Casualty lies with legs pulled up, protecting the abdomen.
Place casualty in the most comfortable position. Carefully remove enough clothing to get a clear idea of the extent of the injuries. Treat for shock . Give nothing by mouth . Request medical assistance immediately .