Related Experiment Video
Updated: Apr 29, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
[The initial management in intensive care of pelvic ring injury patients]
F Vardon1, A Harrois2, J Duranteau2
1Pôle anesthésie-réanimation, équipe d'accueil « Modélisation de l'agression tissulaire et nociceptive », université Toulouse 3 Paul-Sabatier, centre hospitalier universitaire de Toulouse, place du Dr-Baylac, 31059 Toulouse cedex 09, France.
Insights
Severe pelvic trauma can cause life-threatening hemorrhage. Prompt assessment and specialized care, including embolization or pelvic ring stabilization, are crucial for managing pelvic fractures and improving patient survival.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Orthopedic Surgery
Background:
- Pelvic trauma often involves multiple injuries and severe hemorrhage, contributing to significant mortality (8-10%).
- Mortality is primarily linked to pelvic hemorrhage and associated extrapelvic injuries (thoracic, abdominal, brain).
- Specialized trauma center management is essential for optimal pelvic trauma care.
Purpose of the Study:
- To review pelvic fracture pathophysiology.
- To evaluate the efficacy and safety of hemostatic procedures for pelvic trauma.
- To propose a decision-making algorithm for treating pelvic fractures.
Main Methods:
- Systematic literature review.
- Analysis of pelvic fracture pathophysiology.
- Evaluation of hemostatic procedures and their indications.
Main Results:
- Pelvic trauma management requires careful assessment to identify hemorrhage sources.
- Therapeutic strategies include arterial embolization and pelvic ring stabilization.
- The review details the effectiveness and safety of various hemostatic interventions.
Conclusions:
- Effective management of pelvic trauma hinges on accurate hemorrhage assessment and timely intervention.
- A structured approach, including a decision-making algorithm, can guide treatment strategies.
- Specialized care in trauma centers improves outcomes for patients with pelvic fractures.
Abstract:
Pelvic trauma care is complex since it is frequently associated with multiple injuries and may lead to dramatic and uncontrollable haemorrhage. After pelvic trauma, the mortality, around 8 to 10%, is mainly related to severe pelvic hemorrhage but also to extrapelvic injuries (thoracic, abdominal or brain injuries). It is therefore crucial to manage pelvic trauma in specialized trauma center. The initial trauma assessment aims to determine the role of the pelvic injury in hemorrhage to define the therapeutic strategy of pelvic trauma care (arterial embolisation/pelvic ring stabilisation). This review was performed with a systematic review of the literature; it describes the pelvic fracture pathophysiology, and the efficacy and safety of haemostatic procedures and with their respective indications. A decision making algorithm is proposed for the treatment of trauma patients with pelvic fracture.
Related Concept Videos
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:22Aneurysm IV: Nursing Management
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:17Urinary Tract Infection IV: Nursing Management
01:28Urinary Tract Calculi V: Nursing Management
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management