Hemorrhage in pelvic fracture: who needs angiography?
Pelvic fractures are rare but potentially devastating injuries. An understanding of the bony and peripelvic anatomy along with common patterns and the classification of the injury are of critical importance in their management. These form the basis for a general treatment algorithm for pelvic fracture patients. Angiographic embolization is time-consuming and often delayed. Hemodynamic instability with unstable pelvic fracture is therefore best approached with a combination of pelvic emergency stabilization (C-clamp) and surgical hemostasis by pelvic tamponade. This is especially true for critically injured patients in extremis.
Gänsslen
Axel
A
Department of Orthopaedics and Trauma, Hannover Medical School, Germany.
Giannoudis
Peter
P
Pape
Hans-Christoph
HC
D000792:Angiography; D001458:Bandages; D003250:Constriction; D003422:Critical Care / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000150:complications* / Q000628:therapy; D005676:Gravity Suits; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*