Limited Resources at a Community Based Level 1 Trauma Center: Does This Affect Pelvic Angioembolization Times During...

Hemodynamically unstable patients with pelvic fractures require swift intervention due to the high mortality of their injuries. A delay in embolization of these patients significantly affects survival. We therefore, hypothesized that there would be a significant difference between time to embolization at our larger rural Level 1 Trauma Center. This study investigated the relationship between interventional radiology (IR) order time to IR procedure start time over 2 time periods at our large, rural Level 1 Trauma Center with those having sustained a traumatic pelvic fracture requiring IR, and having been identified as being in shock. The current study found no statistically significant difference from time from order to IR start between the 2 cohorts (Mann-Whitney U test, P = .902). The results suggest we are delivering a consistent standard of care at our institution for pelvic trauma, based on IR order time to start of the procedure.