Hemodynamically unstable pelvic fractures.
This article reviews the past and present data regarding the evaluation and resuscitation of patients with concomitant pelvic fractures and hemodynamic instability. The emphasis is that successful treatment requires a concerted and aggressive team approach from all disciplines. Timely care has proven to be the single most important factor in patient survivorship. Recent advances such as emergency posterior frames will allow simultaneous evaluation and resuscitation. A treatment algorithm is presented for emergency care.
Agnew
S G
SG
Section of Orthopaedic Trauma, University of Arkansas for Medical Sciences, Little Rock.
D000792:Angiography; D001158:Arteries / Q000293:injuries; D003250:Constriction; D003661:Decision Support Techniques; D004621:Embolization, Therapeutic; D016267:External Fixators; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D010388:Pelvis / Q000098:blood supply; D010533:Peritoneal Lavage; D011379:Prognosis; D012151:Resuscitation / Q000295:instrumentation; D013997:Time Factors