A child with a spleen laceration should be managed by:

Managing a child with a spleen laceration requires careful consideration of the severity of the injury and the potential for complications such as hemorrhage or other abdominal injuries. Admitting the patient to the Intensive Care Unit (ICU) is often the correct approach because it allows for close monitoring and immediate intervention if the child's condition deteriorates. The ICU setting is equipped to handle potential complications, such as shock from blood loss or the need for further surgical intervention if the injury worsens.

In the ICU, healthcare providers can monitor vital signs continuously, assess for signs of internal bleeding, and manage fluid resuscitation and blood products if necessary. This level of intensive monitoring ensures that any changes in the child's condition can be addressed promptly, improving outcomes and ensuring safety during the critical period following the injury.

While type and crossmatch for blood and consultations may be appropriate depending on the severity of the laceration, they do not provide the immediate level of care and observation that the ICU can offer. Transfer to a trauma center may be required if specialized care is needed, but if the child is already in a facility capable of managing such injuries, ICU admission is prioritized.