The decision to stop or continue resuscitation in a patient with blunt trauma and cardiac arrest arriving pulseless to the hospital has always been controversial. While many authors still believe that it is a futile effort, with no chance of success for complete neurological recovery, some recent reports have challenged the idea. Here we report complete recovery of a severely injured patient fo...

Hysterosalpingogram a common radiological examination is routinely used in the investigation of infertility and sub-fertility in women. The close proximity of the uterus to adjacent pelvic structures results in various types of pelvic fistulas after pelvic disease, pelvic radiation therapy, trauma or pelvic surgery. The case of a 34 years old Para 0(+1) woman with a diagnosis of secondary infer...

Maternal pelvic injury resulting from road traffic accidents may cause fetal intracranial haemorrhage. A case is described. Caesarean section should be considered in acute trauma.

We report a case of fracture of femoral head occurring in the setting of underlying osteonecrosis following a low-energy trauma in a middle-aged male. Patient also has underlying pelvic pathology from a previous trauma. The possible mechanism of injury is discussed. Extensive literature search reveals that this is the first report of a fracture in an osteonecrotic femoral head.

OBJECTIVE Direction of injury force inferred from pelvic radiographs may be used in trauma care to predict associated injuries and guide intervention. Our objective was to compare injury direction determined from anteroposterior (AP) pelvic radiographs with injury forces determined from crash site investigation. MATERIALS AND METHODS We studied all 28 subjects from the Crash Injury Research E...

The Trauma Conference comprised of an international program encompassing civilian and military expertise in topical areas of trauma management from both a clinical and a systems-based perspective. Speakers challenged outdated systems or beliefs and presented alternatives in this evolving area of medicine. The conference opened with three speakers on the subject of severe pelvic trauma. Mr Mark ...

There are unacceptable delays in the management of pelvic trauma in the United Kingdom. In 2003 this became a political issue after TV and radio coverage. Changes to the service were introduced, including trauma coordinators and a special tariff, but has it made a difference?

BACKGROUND The mortality rate of patients with hemodynamic instability due to severe pelvic fracture is reported to be 40-60% despite a multidisciplinary treatment approach. Angioembolization and external fixation of the pelvis are the main procedures used to control bleeding in these patients. Several studies have shown that preperitoneal pelvic packing (PPP) is effective for hemorrhage contro...

We reviewed 55 cases with trauma to the urinary bladder. Blunt trauma was the cause of injury in 78 percent of cases and associated pelvic fracture was present in 75 percent. Eighty percent of extraperitoneal ruptures were associated with fracture of the pelvis. The most common cause of trauma was car accident (63%), followed by war injury (20%). Nearly two-thirds of patients (63 %) had ex...