Management of Pelvic Fracture

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Slide 1

Western Trauma Association Critical Decisions in Trauma: Management of Pelvic Fracture With Hemodynamic Instability Volume 65(5), November 2008, pp 1007-1011

Slide 2

Hemodynamically Stable? Trauma Evaluation AP Pelvis + FAST or DPL Massive Transfusion Protocol No Preperitoneal packing Angio/Embolization Unstable Pelvic stabilization Negative wrapped sheet, towel clips OR for Exploration, ± ext fix Yes Positive Abd/Pelvic CT? Yes Pelvic blush? Yes No Yes ICU, finish evaluation (CT) & resuscitation No 1:1 ratio of PRBC to FFP and a pharesis platelet pack per 5 to 10 units PRBC as a starting point. Management of Pelvic Fracture

Summary: Western Trauma Association Critical Decisions in Trauma: Management of Pelvic Fracture With Hemodynamic Instability J. Trauma. Volume 65(5), November 2008, pp 1007-1011

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