Scoring system to predict hemorrhage in pelvic ring fracture

An unstable pelvic ring. The killing fracture.

©2006 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.88B4. 16693 $2.00 J Bone Joint Surg [Br] 2006; 88-B:427-33. An unstable pelvic fracture may be life threatening and can be seen as ‘the killing’ fracture. Even if this is the only injury, it may be a serious problem. In the initial management of this type of fracture, the principles of advanced trauma life support (...

Predicting major hemorrhage in patients with pelvic fracture.

BACKGROUND Pelvic fractures can be an important source of major hemorrhage in victims of blunt trauma. However, no rapid and reliable noninvasive method exists for predicting which subjects will have major hemorrhage. The objective of this study is to use information available upon presentation to the trauma center to develop a clinical prediction rule to identify subjects with pelvic fracture ...

Assessment of volume of hemorrhage and outcome from pelvic fracture.

HYPOTHESIS Measurement of pelvic hemorrhage on computed tomographic (CT) scans can estimate the pelvic fracture component of total patient blood loss and predict the need for angiography. DESIGN Retrospective cohort study. SETTING Large level 1 trauma center. PATIENTS We examined data from 759 consecutive, nonreferral blunt trauma patients who sustained pelvic fracture. MAIN OUTCOME MEA...

[Severe pelvic fracture with rectal rupture and fatal hemorrhage].

C-clamp and pelvic packing for control of hemorrhage in patients with pelvic ring disruption

BACKGROUND Exsanguinating hemorrhage is the major cause of death in patients with pelvic ring disruption. AIMS The aim of this study was to document outcomes after the stabilization of pelvic ring injuries by a C-clamp and control of hemorrhage by pelvic packing. Physiological parameters were tested as prognostic factors. SETTING AND DESIGN This was a retrospective study at a level I trauma...