Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Army General Surgery's Crisis of Conscience.

Journal of the American College of Surgeons·2018
Same author

Early plasma transfusion is associated with improved survival after isolated traumatic brain injury in patients with multifocal intracranial hemorrhage.

Surgery·2016
Same author

Sympathoadrenal activation and endotheliopathy are drivers of hypocoagulability and hyperfibrinolysis in trauma: A prospective observational study of 404 severely injured patients.

The journal of trauma and acute care surgery·2016
Same author

Incidence, risk factors, and mortality associated with acute respiratory distress syndrome in combat casualty care.

The journal of trauma and acute care surgery·2016
Same author

Clinical Practice Guidelines From the AABB: Red Blood Cell Transfusion Thresholds and Storage.

JAMA·2016
Same author

Elevations in growth hormone and glucagon-like peptide-2 levels on admission are associated with increased mortality in trauma patients.

Scandinavian journal of trauma, resuscitation and emergency medicine·2016

Related Experiment Video

Updated: Jun 23, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Haemodynamically unstable pelvic fractures.

Christopher E White1, Joseph R Hsu, John B Holcomb

  • 1Institute of Surgical Research, Fort Sam Houston, Fort Sam Houston, TX 78234, USA. christopher.eric.white@us.army.mil

Injury
|April 18, 2009
PubMed
Summary
This summary is machine-generated.

Managing bleeding pelvic fractures requires a multidisciplinary approach. Prompt diagnosis and interventions like embolization or external fixation are crucial for reducing high mortality rates in hemodynamically unstable patients.

More Related Videos

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
07:18

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition

Published on: September 22, 2023

Related Experiment Videos

Last Updated: Jun 23, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
07:18

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition

Published on: September 22, 2023

Area of Science:

  • Trauma Surgery
  • Orthopaedic Surgery
  • Interventional Radiology

Background:

  • Bleeding pelvic fractures can lead to hemodynamic instability with mortality rates up to 40%.
  • Associated injuries are common due to the high force required to fracture the pelvis.
  • Mortality is often attributed to uncontrolled hemorrhage from various sources.

Purpose of the Study:

  • To outline the complex challenges in identifying and controlling bleeding sources in pelvic fractures.
  • To emphasize the importance of a multidisciplinary team approach in managing these critical injuries.
  • To detail recommended interventions for hemodynamic instability associated with pelvic fractures.

Main Methods:

  • Circumferential pelvic wrapping and component therapy with whole blood for identified pelvic hemorrhage.
  • Immediate arteriography and embolization for arterial bleeding in hemodynamically unstable patients.
  • External fixation and pelvic packing as adjuncts for venous bleeding or when embolization is delayed/unavailable.

Main Results:

  • Multi-disciplinary management is essential for complex bleeding pelvic fractures.
  • Arteriography and embolization are key for arterial pelvic bleeding.
  • External fixation and packing can reduce venous bleeding and serve as temporizing measures.

Conclusions:

  • Developing institutional practice guidelines for pelvic fracture management can reduce mortality.
  • Prompt and appropriate interventions are critical for improving outcomes in patients with bleeding pelvic fractures.
  • A coordinated team approach ensures comprehensive care for these severe injuries.