External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage

• Published in: The journal of trauma Vol. 54; no. 3; p. 437
• Main Authors: Miller, Preston R, Moore, Phillip S, Mansell, Eric, Meredith, J Wayne, Chang, Michael C
• Format: Journal Article
• Language: English
• Published: United States 01.03.2003
• Subjects: Adult; Angiography; Female; Fracture Fixation - methods; Fractures, Bone - classification; Fractures, Bone - complications; Fractures, Bone - surgery; Hemorrhage - complications; Hemorrhage - diagnosis; Humans; Hypotension - etiology; Injury Severity Score; Male; Middle Aged; Pelvic Bones - injuries; Predictive Value of Tests; Tomography, X-Ray Computed; Trauma Centers

Bleeding pelvic fractures (BPF) carry mortality as high as 60%, yet controversy remains over optimal initial management. Some base initial intervention on fracture pattern, with immediate external fixation (EX FIX) in amenable fractures aimed at controlling venous bleeding. Others feel ongoing hemod...