Pelvic Trauma
Although the evidence is controversial, binding has been proven to increase MAP pressures in the short term until patient’s reach definitive management of their injuries - Katie Lupez MD
HWN Suggests
Management of Major Pelvic Trauma
Pelvic trauma frequently is associated with other injuries from the high force required to break the pelvis. Management is focused on stabilizing the pelvis and stopping the bleeding. Due to other injuries requiring emergent surgical stabilization, pelvic trauma is primarily managed surgically with pre-peritoneal packing and external fixation, followed by angioembolization for continued bleeding. Emergency physicians must quickly resuscitate patients while gathering vital information to direct the correct definitive bleeding control strategy. New endovascular techniques such as REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) may change future emergency department strategies…
Featured
Pelvic fractures: ED presentations and management
Hemodynamic instability associated with a pelvic fracture without any other source of bleeding is an indication for pelvic angiography and subsequent embolization.
