ReviewHaemodynamically unstable pelvic fractures☆
Section snippets
Acknowledgements
All illustrations and the radiograph demonstrating preperitoneal pelvic packing (Fig. 5) were provided by Dr. Ernest E. Moore and used with his permission.
The authors thank Ms. Amy Newland and Mr. Glen Gueller for their assistance in preparation of this article.
References (129)
- et al.
Emergent pelvic fixation in patients with exsanguinating pelvic fractures
J Am Coll Surg
(2007) - et al.
Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes
J Am Coll Surg
(2002) - et al.
Contemporary management of pelvic fractures
Am J Surg
(2006) - et al.
Review of the pathophysiology and acute management of haemorrhage in pelvic fracture
Injury
(2006) - et al.
Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures
Am J Surg
(2007) - et al.
Damage control orthopaedics in unstable pelvic ring injuries
Injury
(2004) - et al.
The role of associated injuries on outcome of blunt trauma patients sustaining pelvic fractures
Injury
(2000) The role of pelvic angiography in evaluation and management of pelvic trauma
Orthop Clin North Am
(2004)- et al.
Pressure characteristics of pelvic binders
Injury
(2007) - et al.
Pelvic fracture patterns and their corresponding angiographic sources of hemorrhage
Orthop Clin North Am
(2004)
Abdominal vascular injuries
Surg Clin North Am
Diagnostic performance of trauma US in identifying abdominal or pelvic free fluid and serious abdominal or pelvic injury
Acad Radiol
Auditing 655 fatalities with pelvic fractures by autopsy as a basis to evaluate trauma care
J Am Coll Surg
Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage
J Trauma
Management guidelines for hypotensive pelvic fracture patients
Am Surg
Blunt trauma: feasibility and clinical utility of pelvic CT angiography performed with 64-detector row CT
Radiology
Institutional practice guidelines on management of pelvic fracture-related hemodynamic instability: do they make a difference?
J Trauma
Patients with impending abdominal compartment syndrome do not respond to early volume loading
Am J Surg
Supranormal trauma resuscitation causes more cases of abdominal compartment syndrome
Arch Surg
Both primary and secondary abdominal compartment syndrome can be predicted early and are harbingers of multiple organ failure
J Trauma
Anatomical consequences of “open-book” pelvic ring disruption: a cadaver experimental study
Surg Radiol Anat
Intrapelvic dislocation of the left hemipelvis as a complication of the pelvic “C” clamp: a case report and review
J Orthop Trauma
Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures
Ann Surg
Predicting major hemorrhage in patients with pelvic fracture
J Trauma
Assessment of volume of hemorrhage and outcome from pelvic fracture
Arch Surg
Recombinant factor VIIa as adjunctive therapy for bleeding control in severely injured trauma patients: two parallel randomized, placebo-controlled, double-blind clinical trials
J Trauma
The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital
J Trauma
Noninvasive reduction of open-book pelvic fractures by circumferential compression
J Orthop Trauma
Prospective evidence of the superiority of a sonography-based algorithm in the assessment of blunt abdominal injury
J Trauma
Significance of contrast extravasation in patients with pelvic fracture
J Trauma
Acute coagulopathy of trauma: hypoperfusion induces systemic anticoagulation and hyperfibrinolysis
J Trauma
Acute traumatic coagulopathy
J Trauma
Hemoglobin drops within minutes of injuries and predicts need for an intervention to stop hemorrhage
J Trauma
Pelvic ring disruptions: effective classification system and treatment protocols
J Trauma
Detection of bleeding in patients with major pelvic fractures: value of contrast-enhanced CT
AJR Am J Roentgenol
A 12-year prospective study of postinjury multiple organ failure: has anything changed?
Arch Surg
Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift
J Trauma
The cellular, metabolic, and systemic consequences of aggressive fluid resuscitation strategies
Shock
Pelvic fracture classification: correlation with hemorrhage
J Trauma
Pelvic fracture in multiple trauma: classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome
J Trauma
Admission base deficit predicts transfusion requirements and risk of complications
J Trauma
Medical anti-shock trousers (pneumatic anti-shock garments) for circulatory support in patients with trauma (Cochrane Review)
The cochrane library, issue 2
Clinical examination is superior to plain films to diagnose pelvic fractures compared to CT
Am Surg
Review of current blood transfusions strategies in a mature Level I trauma center: were we wrong for the last 60 years?
J Trauma
Low-pressure resuscitation from hemorrhagic shock
Int Anesthesiol Clin
Indications for early red blood cell transfusion
J Trauma
The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions
J Trauma
Control of severe hemorrhage using C-clamp and pelvic packing in multiply injured patients with pelvic ring disruption
J Orthop Trauma
Incidence and clinical pattern of the abdominal compartment syndrome after “damage-control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma
Crit Care Med
Cited by (174)
Management of Pelvic Trauma
2024, Surgical Clinics of North AmericaArterial Embolisation for Trauma Patients with Pelvic Fractures in Emergency Settings: A Nationwide Matched Cohort Study in Japan
2022, European Journal of Vascular and Endovascular SurgeryCitation Excerpt :An EF can temporarily stabilise the pelvic ring and reduce intrapelvic volumes to prevent further haemorrhage.1,10,13,27,30 An EF is recommended for patients with haemodynamically unstable pelvic ring disruptions or those about to undergo PPP, to provide a stable counterpressure for effective packing.1,10,13,27,30 The guidelines recently recommended PPP as a new technique to control bleeding in patients with haemodynamically unstable pelvic fractures.1,10,13,31
Clinically relevant bleeding risk in low-energy fragility fractures of the pelvis in elderly patients
2024, European Journal of Trauma and Emergency SurgeryThree-in-one protocol for the management of hemodynamically unstable paediatric pelvic fracture – a level one trauma centre 15 year review
2024, Journal of Orthopaedics, Trauma and RehabilitationCauses and associations with mortality in patients with pelvic ring injuries with haemorrhagic shock
2023, European Journal of Orthopaedic Surgery and Traumatology
- ☆
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of the Army, Department of Defense or the US Government. This work was prepared as part of their official duties and, as such, there is no copyright to be transferred.