Management guideline in haemodynamically unstable patients with pelvic fractures: Outcomes and challenges

EMA - Emergency Medicine Australasia

Volumn 22, Issue 6, 2010, Pages 556-564

  Asadollahi, Saeed ^a   De Steiger, Richard ^b   Gruen, Russell ^c   Richardson, Martin ^d  

^a Western Health ^*  (United States)

^b Musculoskeletal Clinical Institute Epworth Healthcare   (United States)

^c ALFRED HOSPITAL   (Australia)

^d Epworth Hospital   (United States)

Author keywords

Angiography; Guideline; Haemodynamic instability; Pelvic fracture; Shock

Indexed keywords

ADULT; ARTICLE; BLOOD TRANSFUSION; DATA BASE; ECHOGRAPHY; FEMALE; HEMODYNAMICS; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MALE; MEDICAL RECORD REVIEW; MORTALITY; PELVIS ANGIOGRAPHY; PELVIS FRACTURE; PELVIS INJURY; PRACTICE GUIDELINE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; ALGORITHMS; ANALYSIS OF VARIANCE; BLOOD TRANSFUSION; EMERGENCY SERVICE, HOSPITAL; FEMALE; FLUID THERAPY; FRACTURES, BONE; GUIDELINE ADHERENCE; HEMODYNAMICS; HOSPITAL MORTALITY; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PELVIC BONES; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; YOUNG ADULT;

EID: 78650377802     PISSN: 17426731     EISSN: 17426723     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2010.01355.x     Document Type: Article

References (22)

1. Balogh Z, King KL, Mackay P et al. The epidemiology of pelvic ring fractures: a population-based study. J. Trauma 2007; 63: 1066-73.
2. Heetveld MJ, Harris I, Schlaphoff G, Balogh Z, D'Amours SK, Sugrue M. Hemodynamically unstable pelvic fractures: recent care and new guidelines. World J. Surg. 2004; 28: 904-9.
3. Balogh Z, Caldwell E, Heetveld M et al. Institutional practice guidelines on management of pelvic fracture-related hemodynamic instability: do they make a difference? J. Trauma 2005; 58: 778-82.
4. Heetveld MJ, Harris I, Schlaphoff G, Sugrue M. Guidelines for the management of haemodynamically unstable pelvic fracture patients. ANZ J. Surg. 2004; 74: 520-9.
5. Pohlemann T, Bosch U, Gansslen A, Tscherne H. The Hannover experience in management of pelvic fractures. Clin. Orthop. Relat. Res. 1994; 69-80.
6. Moreno C, Moore EE, Rosenberger A, Cleveland HC. Hemorrhage associated with major pelvic fracture: a multispecialty challenge. J. Trauma 1986; 26: 987-94.
7. Biffl WL, Smith WR, Moore EE et al. Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures. Ann. Surg. 2001; 233: 843-50.
8. Flint L, Babikian G, Anders M, Rodriguez J, Steinberg S. Definitive control of mortality from severe pelvic fracture. Ann. Surg. 1990; 211: 703-6.
9. Bassam D, Cephas GA, Ferguson KA, Beard LN, Young JS. A protocol for the initial management of unstable pelvic fractures. Am. Surg. 1998; 64: 862-7.
10. Smith W, Williams A, Agudelo J et al. Early predictors of mortality in hemodynamically unstable pelvis fractures. J. Orthop. Trauma 2007; 21: 31-7.
11. Van Veen IH, Van Leeuwen AA, Van Popta T, Van Luyt PA, Bode PJ, Van Vugt AB. Unstable pelvic fractures: a retrospective analysis. Injury 1995; 26: 81-5.
12. Davis JW, Moore FA, McIntyre RC Jr, Cocanour CS, Moore EE, West MA. Western trauma association critical decisions in trauma: management of pelvic fracture with hemodynamic instability. J. Trauma 2008; 65: 1012-15.
13. Edwards ER, Graves SE, McNeil JJ, Williamson OD, Urquhart DM, Cicuttini FM. Orthopaedic trauma: establishment of an outcomes registry to evaluate and monitor treatment effectiveness. Injury 2006; 37: 95-6.
14. Burgess AR, Eastridge BJ, Young JW et al. Pelvic ring disruptions: effective classification system and treatment protocols. J. Trauma 1990; 30: 848-56.
15. Richardson M. The Pelvic Sling: Indications & Procedures. Melbourne: ImaginACTION pty Ltd, 2004.
16. Agolini SF, Shah K, Jaffe J, Newcomb J, Rhodes M, Reed JF 3rd. Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage. J. Trauma 1997; 43: 395-9.
17. Miller PR, Moore PS, Mansell E, Meredith JW, Chang MC. External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage. J. Trauma 2003; 54: 437-43.
18. Brenchley J, Walker A, Sloan JP, Hassan TB, Venables H. Evaluation of focussed assessment with sonography in trauma (FAST) by UK emergency physicians. Emerg. Med. J. 2006; 23: 446-8.
19. Birkhahn RH, Gaeta TJ, Terry D, Bove JJ, Tloczkowski J. Shock index in diagnosing early acute hypovolemia. Am. J. Emerg. Med. 2005; 23: 323-6.
20. Takahira N, Shindo M, Tanaka K, Nishimaki H, Ohwada T, Itoman M. Gluteal muscle necrosis following transcatheter angiographic embolisation for retroperitoneal haemorrhage associated with pelvic fracture. Injury 2001; 32: 27-32.
21. Yasumura K, Ikegami K, Kamohara T, Nohara Y. High incidence of ischemic necrosis of the gluteal muscle after transcatheter angiographic embolization for severe pelvic fracture. J. Trauma 2005; 58: 985-90.
22. Verbeek D, Sugrue M, Balogh Z et al. Acute management of hemodynamically unstable pelvic trauma patients: time for a change? Multicenter review of recent practice. World J. Surg. 2008; 32: 1874-82.