Biochemical Correlations in Polytrauma Patients with Unstable Pelvic Fractures

14 Olivera Lupescu 8 Calea Floreasca, 1 District, 014461, Bucharest, Romania e-mail: [email protected] Abstract. Polytrauma represents an association of multiple injuries capable of inducing a systemic response and resulting in a life-threatening condition. Regardless of the different approaches and definitions, the severity of this association, determined by a specific pathophysiology, requires special therapeutic protocols, adapted to the status of the patient. One of the most challenging situations for the trauma specialists is represented by polytrauma with unstable pelvic fractures the stabilization of these fractures is considered a resuscitative measure, but this must be done while avoiding the “second hit” phenomenon. These can be achieved by adapting the treatment to the patient’s systemic response to aggression, which has to be evaluated by objective means. The authors perform a retrospective study in a Level 1 Trauma Centre in order to analyse the possibility of using biochemical markers to asses the status of the polytrauma patients with unstable pelvic fractures and to establish their treatment.