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UNSTABLE PELVIC FRACTURES AND HEMORRHAGE – INITIAL MANAGEMENT


Authors: Peter Rovder+ 1 2;  Valér Džupa+ 1 3;  Miroslav Lisý+ 1 4;  Jana Chmelová+ 1 5;  Robert Grill+ 1 6;  Václav Báča+ 1 7;  Michal Fric+ 1 8
Authors‘ workplace: Centrum pro integrované studium pánve 3. LF UK, Praha 1;  Oddelenie úrazovej chirurgie NsP Štefana Kukuru, Michalovce 2;  Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha-Vinohrady 3;  Ortopedická klinika LF UK a FN, Bratislava-Ružinov 4;  Radiodiagnostický ústav FNsP Ostrava 5;  Urologická klinika 3. LF UK a FNKV, Praha-Vinohrady 6;  Ústav anatomie 3. LF UK, Praha 7;  Klinika anesteziologie a resuscitace 3. LF UK a FNKV, Praha-Vinohrady 8
Published in: Úraz chir. 14., 2006, č.3

Overview

Purpose:
Pelvic fractures are severe injuries. The purpose of this study is to determinate diagnostictherapeutical process in patients after complex pelvic injury associated with significant hemorrhage in the initial care in hospital.

Methods:
In the paper are noticed diagnostic modalities and algorithm of primary treatment management in patients with unstable pelvic injury.

Conclusions:
In cases with pelvic instability and haemodynamic instability is necessery to apply emergency protocol based on pelvic stabilisation together with surgical haemostasis by pelvic tamponade.

Key words:
pelvic ring injury, emergency treatment, Cclamp, pelvic tamponade.


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Surgery Traumatology Trauma surgery
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