Management of Pelvic Trauma

Surg Clin North Am. 2024 Apr;104(2):367-384. doi: 10.1016/j.suc.2023.10.001. Epub 2023 Nov 22.ABSTRACTPelvic fractures are common after blunt trauma with patients' presentation ranging from stable with insignificant fractures to life-threatening exsanguination from unstable fractures. Often, hemorrhagic shock from a pelvic fracture may go unrecognized and high clinical suspicion for a pelvic source lies with the clinician. A multidisciplinary coordinated effort is required for management of these complex patients. In the exsanguinating patient, hemorrhage control remains the top priority and may be achieved with external stabilization, resuscitative endovascular balloon occlusion of the aorta, preperitoneal pelvic packing, angiographic intervention, or a combination of therapies. These modalities have been shown to reduce mortality in this challenging population.PMID:38453308 | DOI:10.1016/j.suc.2023.10.001
Source: The Surgical Clinics of North America - Category: Surgery Authors: Source Type: research