Management of Pelvic Ring Injury Patients With Hemodynamic Instability

Pelvic ring injuries (PRI) are among the most difficult injuries to deal with in orthopedic trauma. When these injuries are accompanied by hemodynamic instability their management becomes significantly more complex. A methodical assessment and expeditious triage are required for these patients follo...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in surgery 2020-11, Vol.7, p.588845-588845
Main Authors: Marmor, Meir, El Naga, Ashraf N., Barker, Jordan, Matz, Jacob, Stergiadou, Styliani, Miclau, Theodore
Format: Article
Language:English
Subjects:
angioembolization
bleeding
hemodynamic instability
pelvic fracture
pre-peritoneal pelvic packing
Surgery
triage
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pelvic ring injuries (PRI) are among the most difficult injuries to deal with in orthopedic trauma. When these injuries are accompanied by hemodynamic instability their management becomes significantly more complex. A methodical assessment and expeditious triage are required for these patients followed by adequate resuscitation. A major triage decision is whether these patients should undergo arterial embolization in the angiography suit or prompt packing and pelvic stabilization in the operating room. Patient characteristics, fracture type and injury characteristics are taken into consideration in the decision-making process. In this review we discuss the acute evaluation, triage and management of PRIs associated with hemodynamic instability. An evidence based and protocol driven approach is necessary in order to achieve optimal outcomes in these patients.
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2020.588845