Typically, children with grade 1 - 4 liver injuries are admitted to the general care unit. Children with grade 5 liver injuries may be admitted to the general care unit or to the intensive care unit (ICU). Fortunately, most liver injuries are treated without surgery. Depending on the grade of injury, treatment can include strict bed rest, nothing to eat or drink for a short period of time, pain control, lab work, and IV fluid hydration. Blood transfusions can sometimes also be necessary.
If bleeding from the liver does not stop on its own, surgery to fix the damage and stop the bleeding may be necessary, but this is rare.
If your child has surgery, he / she will not be allowed to eat after surgery for some time. However, he / she will be given an IV (a small tube in their vein) for fluid hydration. He / she may also have a nasogastric tube (a tube through the nose into the stomach) after surgery to keep their stomach empty. Your child will be closely watched in the ICU after surgery for a few days to watch for any bleeding, then moved to the general care unit as healing continues.