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Critical Care
Published in: Critical Care 1/2007

01-02-2007 | Review

Clinical review: Initial management of blunt pelvic trauma patients with haemodynamic instability

Authors: Thomas Geeraerts, Vibol Chhor, Gaëlle Cheisson, Laurent Martin, Bertrand Bessoud, Augustin Ozanne, Jacques Duranteau

Published in: Critical Care | Issue 1/2007

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Abstract

Pelvic trauma can lead to severe, uncontrollable haemorrhage and death related to prolonged shock and multiple organ failure. Massive retroperitoneal haematoma should be assumed to be present in cases of post-traumatic haemodynamic instability associated with pelvic fracture in the absence of extrapelvic haemorrhagic lesions. This review describes the pathophysiology of retroperitoneal haematoma in trauma patient with blunt pelvic fracture, considering the roles of venous and arterial bleeding. Efficacy and safety of haemostatic procedures are also discussed, and particular attention is given to the efficacy of pelvic angiographic embolization and external pelvic fixation. A decision making algorithm is proposed for the treatment of trauma patients with pelvic fracture that takes haemodynamic status and associated lesions into account.
Appendix
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Metadata
Title
Clinical review: Initial management of blunt pelvic trauma patients with haemodynamic instability
Authors
Thomas Geeraerts
Vibol Chhor
Gaëlle Cheisson
Laurent Martin
Bertrand Bessoud
Augustin Ozanne
Jacques Duranteau
Publication date
01-02-2007
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2007
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc5157

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