Complex Pelvic Injuries
Adapted from Dr. Sarani's Grand Rounds presentation October 5th, 2016
Types of Pelvic Trauma
Isolated Pelvis Fractures: relatively good recovery potential
Lethal Associated Injuries: Increased risk of blood loss and poor outcomes. Identification of injuries and correct treatment from EMS to the OR is important to treating severe pelvic trauma. Thoracic aorta, intracranial, intra-abdominal
Pelvis Fracture Classifications
Lateral compression: Most common pelvic fracture. Lateral forces causing fractures of the iliac crest/pubic symphysis Associated with abdominal injuries and low-speed injuries as well as pedestrian struck injuries.
AP Compression Fracture: Anterior/posterior pressure with 67% shock and 30% mortality
Vertical Shear: vertical traction force due to acceleration/deceleration forces. Causes pubic symphysis disruption and widening.
Combined Fracture: Mixture of multiple fracture types.
1. Stop Hemorrhage
3. Resuscitate in the ICU
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