A targeted performance improvement programme reduces mortality in exsanguinating pelvic trauma
نویسندگان
چکیده
Background Shocked patients with pelvic fractures are amongst the most severely injured patients requiring trauma care. They present a complex management challenge with mortality rates of up to 60%, the majority being the result of early exsanguination.[1] Errors and delays in the process of care contribute to this substantial mortality. Multidiscipline performance improvement programmes (PIP) aim to monitor the quality of care and identify opportunities for improvements that may affect outcome. They are a critical component of verified US trauma centres.[2] Our aim was to examine the impact of a targeted PIP on outcome in shocked patients with pelvic fractures.
منابع مشابه
Controlling hemorrhage in exsanguinating pelvic fractures: Utility of extraperitoneal pelvic packing as a damage control procedure
INTRODUCTION Exsanguinating pelvic fractures are still associated with a significant mortality rate of 28-60%. Extraperitoneal pelvic packing (EPP) has been proposed as an optimal method of early haemorrhage control. The aim of this study was to determine the effect of EPP compared with angioembolization as a primary intervention for patients with exsanguinating pelvic fracture. METHOD A pros...
متن کاملEmergent management of pelvic ring injuries: an update.
prise about 2% of all fractures, but the incidence is increasing due to increasing numbers of high-speed vehicular crashes and suicide attempts. Mortality associated with isolated pelvic injury, independent of severity, has been reported to be low: 1%–2%. Among multiply injured victims of blunt trauma, however, almost 20% have injuries to the pelvic ring. In this group, when closed pelvic ring ...
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Haemodynamically unstable patients with pelvic fractures present a difficult management problem in accident and emergency (A&E) departments. There have been many reports supporting various treatment methods, though no prospective controlled trials of these different approaches have been undertaken. In this paper we shall review the evidence for the available treatment options and make recommend...
متن کاملPelvic Trauma
Patients with traumatic pelvic ring injury may represent an immense challenge for the emergency physician. First, patients with pelvic ring fractures are at risk for exsanguinating pelvic hemorrhage. Furthermore, the profound magnitude of force required to disrupt the pelvic ring frequently causes severe injuries to other organ systems. The resuscitation from hemorrhagic shock, rapid identifica...
متن کاملاداره پارگی وسیع پرینه در ترومای شدید لگن
Introduction: Significant perineal injuries and major pelvic fractures resulting from blunt trauma manifest a high-energy injury. Open pelvic fractures (with perineal injury) are associated with higher mortality rates of 40 to 60 %. Methods: This study was a review of patients with multiple traumas comprising of major pelvic fracture and severe perineal injuries (Shahid Kamyab hospital in Mash...
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عنوان ژورنال:
دوره 21 شماره
صفحات -
تاریخ انتشار 2013