BACKGROUND Lower mortality and improved physical function following major polytrauma have been associated with treatment at level-I trauma centers compared with that at hospitals without a trauma center (nontrauma centers). This study investigated the impact of trauma-center care on outcomes after pelvic and acetabular injuries. METHODS Mortality and quality-of-life-related scores were compar...

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 ...

OBJECTIVE To assess whether the presence of a pelvic fracture is associated with greater severity and worse prognosis in victims of blunt trauma. METHODS A retrospective analysis of protocols and records of victims of blunt trauma admitted from June 2008 to March 2009 was separated into two groups: those with pelvic fracture (Group I) and those without it (Group II). Data were collected from ...

Hemodynamically Unstable Pelvic Trauma is a major problem in blunt traumatic injury. No cosensus has been reached in literature on the optimal treatment of this condition. We present the results of the First Italian Consensus Conference on Pelvic Trauma which took place in Bergamo on April 13 2013. An extensive review of the literature has been undertaken by the Organizing Committee (OC) and fo...

BACKGROUND Hemorrhage from pelvic fracture is common in victims of blunt traumatic injury. In 2001, the Eastern Association for the Surgery of Trauma (EAST) published practice management guidelines for the management of hemorrhage in pelvic trauma. Since that time there have been new practice patterns and larger experiences with older techniques. The Practice Guidelines Committee of EAST decide...

INTRODUCTION The use of a noninvasive pelvic circumferential compression device (PCCD) to achieve pelvic stabilization by both decreasing pelvic volume and limiting inter-fragmentary motion has become commonplace, and is a well-established component of Advanced Trauma Life Support (ATLS) protocol in the treatment of pelvic ring injuries. The purpose of this study was to evaluate the following: ...

Tracy Evans is the trauma program manager and director of emergency medical services at Norwalk Hospital in Norwalk, Conn. The spectrum of patients with pelvic fractures ranges from patients with isolated, simple fractures to critically injured patients with multiple other life-threatening injuries. Critical care nurses care for patients with major pelvic fractures in many settings, including t...

In this issue we are pleased to have a review of recidivism and the use of external fixators for control of pelvic haemorrhage in haemodynamically unstable patients. The accompanying editorial and article provide an insight into the lack of strong scientific evidence favouring modalities currently used in haemorrhage control in patients with major pelvic trauma. This indicates the need for a br...