Western Trauma Association Critical Decisions in Trauma: Management of Pelvic Fracture With Hemodynamic Instability

Abstract

SUMMARY Patients with hemodynamic instability and pelvic frac-ture remain a significant challenge in management. A mul-tidisciplinary approach has been shown to have the bestoutcomes. The algorithm outlined above represents the ef-forts of the Western Trauma Association Critical Decisions inTrauma Ad Hoc Committee based on the best evidence avail-able and expert opinion. Prospective validation of this algo-rithm is recommended. REFERENCES 1. Moreno C, Moore EE, Rosenberger A, Cleveland HC. Hemorrhageassociated with major pelvic fracture: a multispecialty challenge. J Trauma. 1986;26:987–994.2. Smith W, Williams A, Agudelo J, et al. Early predictors of mortalityin hemodynamically unstable pelvis fractures. J Orthop Trauma. 2007;21:31–37.3. Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, SmithWR. Preperitonal pelvic packing for hemodynamically unstablepelvic fractures: a paradigm shift. J Trauma. 2007;62:834–839;discussion 839–842.4. Gilliland MD, Ward RE, Barton RM, Miller PW, Duke JH. Factorsaffecting mortality in pelvic fractures.