2008 Management of Exsanguinating Pelvis Injuries

Description: An algorithm for the management of exsanguinating pelvic trauma Karim, London, UK, May 20, 2008
Introduction Trauma patients who present with unstable pelvic fractures have sustained a high energy injury that is commonly associated with disruption of arteries and veins resulting in major haemorrhage. Patients with pelvic fractures who present in shock have a mortality of 30-50%. When combined with injuries in other body regions such as the abdomen, the mortality rises even higher, approaching 100% in some series. However a systematic multidisciplinary approach to these injuries, directed initially only at haemorrhage control, can lead to significant improvements in survival.