Pelvic Trauma - StatPearls - NCBI Bookshelf
网页2023年8月8日 — Hemorrhage from pelvic fractures is a major cause of morbidity and mortality. Nerve injuries are less common than vascular injuries with pelvic trauma. Lumbosacral plexus injuries account for the majority of nerve injuries after pelvic trauma.
Emergency Management of Pelvic Bleeding - PMC - National …
网页2021年1月1日 — One of the key-concepts of EPP is the control of major venous bleeding by direct compression; as venous bleeding makes up about 75–80% of pelvic hemorrhage . EPP can be performed in less than 20 min, safely either in the OR or in the Emergency Department (ED).
Control of pelvic fracture–related hemorrhage - PMC
网页2022年1月26日 — Hemorrhage control in these complex scenarios should be broken down into 3 fundamental steps: (1a) stabilization of the bony pelvis; (1b) resuscitation; (2) identification of associated hemorrhagic injuries; and (3) control of the pelvic arterial, venous, and soft tissue bleeding.
Pelvic trauma: WSES classification and guidelines
网页2017年1月18日 — Pelvic trauma (PT) is one of the most complex management in trauma care and occurs in 3% of skeletal injuries [1 – 4]. Patients with pelvic fractures are usually young and they have a high overall injury severity score (ISS) (25 to 48 ISS) [3].
Management of Pelvic Trauma - Surgical Clinics
网页2023年11月22日 — Pelvic fractures are associated with hemorrhage because the neurovascular complexes intimately neighbor the bony structures. Hemorrhagic shock from a pelvic fracture can be challenging to detect in the trauma bay as it is often unappreciable on physical examination or focused assessment with sonography for trauma (FAST).
Pelvic Arterial Hemorrhage in Patients with Pelvic Fractures: …
网页2004年11月1日 — Arterial hemorrhage is one of the most serious problems associated with pelvic fractures, and it remains the leading cause of death attributable to pelvic fracture. At many trauma centers, contrast material–enhanced computed tomography (CT) is increasingly used for initial diagnosis in the evaluation of patients with pelvic fractures.
Imaging and Endovascular Treatment of Bleeding Pelvic
网页2018年9月17日 — Pelvic angiography and subsequent embolization is a safe, rapid and effective technique for patients with pelvic fracture-related arterial hemorrhage in both hemodynamically stable and unstable patients.
Current Management of Hemodynamically Unstable Patients with Pelvic …
网页2023年3月4日 — Preperitoneal pelvic packing, external fixation, and angioembolization are techniques to address hemorrhage within the bony pelvis. A multidisciplinary and multimodal approach is needed in the treatment of complex pelvic injuries. Arresting pelvic hemorrhage is imperative in hemodynamically unstable patients with pelvic injuries.
Pelvic Fractures and Associated Genitourinary and Vascular
网页2019年10月15日 — Transcatheter arterial embolization plays a critical role in stopping acute hemorrhage and improving clinical outcomes. Pelvic fractures, particularly when unstable, are associated with significant morbidity and mortality [1] and are present in about 9% of patients with major blunt trauma [2, 3].
Endovascular management of haemorrhage in pelvic trauma
网页2021年9月1日 — Pre-peritoneal pelvic packing for early hemorrhage control reduces mortality compared to resuscitative endovascular balloon occlusion of the aorta in severe blunt pelvic trauma patients: a nationwide analysis