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Patients with hemodynamic unstable pelvic fractures in extremis: pelvic packing or angiography?



Patients with hemodynamic unstable pelvic fractures in extremis: pelvic packing or angiography?



Revista Espanola de Cirugia Ortopedica Y Traumatologia 57(6): 429-433



The multidisciplinary management of patients with pelvic trauma has improved prognosis, but mortality is still very high. The appropriate treatment strategy remains controversial, especially regarding the control of bleeding in patients whose clinical situation is extreme by using angiography or pelvic packing. We propose using a tool of evidence-based medicine (CAT) the benefit of the completion of pelvic packing in relation to a specific clinical question from a specific situation. What is best for the management of bleeding, extraperitoneal pelvic packing or angiography, in patients with hemodynamically unstable pelvic fracture in extremis? From this study we can conclude that angiography may improve control of bleeding in patients with arterial bleeding and hemodynamically stable but the packing has priority in patients with pelvic fractures and hemodynamic instability.

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Accession: 054893737

Download citation: RISBibTeXText

PMID: 24071044

DOI: 10.1016/j.recot.2013.07.002


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