Pelvic Fractures and the Unstable Patient

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Pre-peritoneal Packing • Totterman (2007): 18 pts • 72% survival at 30 days • Significant rise in BP after packing • All went to angio 80% positive angio post op
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 and 34: What can be done? •MAST • Compr
Page 35 and 36: Compressive Devices • Adjunct to
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 62: Pre-peritoneal packing • Problems
Page 65 and 66: Negative FAST Exam Positive Angio N
Page 67: Questions…
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Pelvic Fractures and the Unstable Patient

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