Pelvic Fractures and the Unstable Patient

Recommendations

Info

MAST • Military antishock trousers • Advocated in 1970-80’s • Induce pelvic tamponade and increase venous return • Also, lower extremity ischemia/reperfusion, compartment syndrome, and skin necrosis • Largely discontinued
Compressive Devices • Adjunct to primary/secondary survey • Bed sheet or T-POD • Consider placing during roll • Provides external compression and “closes” the open pelvis- use when pelvic volume is expanded • Decreases pelvic volume • DeAngelis (2007): Cadaveric study, T-POD significantly improved diastasis reduction vs bed sheet.
Page 1 and 2: Pelvic Fractures and the Unstable P
Page 3 and 4: Scope of the Problem • Pelvic fra
Page 5 and 6: History • 1970 Hawkins, L. Journa
Page 7 and 8: Anatomy • 2 innominate bones (ari
Page 9 and 10: Vascular Anatomy • Large blood ve
Page 11 and 12: Pelvic Volume
Page 13 and 14: Lateral Compression • Acute short
Page 15 and 16: • Usually a fall from height land
Page 17 and 18: Diagnosis of Fracture • Strong su
Page 19 and 20: Diagnosis of Fracture • Salvino 1
Page 21 and 22: Diagnosing Bleeding • Vascular in
Page 23 and 24: Markers for pelvic hemorrhage • P
Page 25 and 26: Markers for pelvic hemorrhage • C
Page 27 and 28: Polytrauma • Pelvic fractures com
Page 29 and 30: The Unstable Patient • Difficult
Page 31 and 32: The Unstable Patient • Pelvic sta
Page 33: What can be done? •MAST • Compr
Page 38: Compressive Devices • Lee C. (200
Page 41 and 42: External Fixation
Page 44 and 45: Angiography and Embolization • St
Page 46 and 47: Angiography and Embolization • Se
Page 48: Angiography and Embolization • Pr
Page 52 and 53: Don’t be scared
Page 54 and 55: Pelvic Packing • Historically: Op
Page 56: Technique • Low midline incision
Page 60: Pre-peritoneal Packing • Cothren
Page 64 and 65: Putting it all together… • Hemo
Page 66 and 67: “You can only do what you can do,

Pelvic Fractures and the Unstable Patient

Create successful ePaper yourself

Delete template?

Save as template?