title: Standardised multidisciplinary protocol for haemodynamically unstable pelvic fractures.
abstract: OBJECTIVE
  To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol.
  
  
  METHODS
  Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic fractures were reviewed. The survival rates before and after implementation of a standardised protocol were compared.
  
  
  RESULTS
  Of these 29 patients, 19 survived, 6 died of exsanguination, and 4 died of multi-organ failure. Survival was significantly improved after implementation of the protocol (66% vs. 31%, p=0.0006).
  
  
  CONCLUSIONS
  A standardised protocol involving a dedicated multidisciplinary team for management of haemodynamically unstable pelvic fractures improved survival.
authors.affiliation: Department of Orthopaedics and Traumatology, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Ka Chun
authors.initials: KC
authors.lastname: Ip
authors.forename: Kin Bong
authors.initials: KB
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002985:Clinical Protocols; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000401:mortality / Q000628:therapy*; D006801:Humans; D007022:Hypotension / Q000150:complications / Q000401:mortality / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D055815:Young Adult
keywords: fracture fixation; pelvis