This 2013 JAAOS review covers the initial evaluation, classification, and acute resuscitation of pelvic fractures — from benign lateral compression injuries to life-threatening unstable patterns — with a focus on how fracture type should drive hemorrhage control strategy.
When you see a hemodynamically unstable patient with a pelvic fracture, apply a binder at the trochanters immediately as a bridge — then classify the pattern: APC and VS injuries close the ring and benefit from compression, while LC injuries do not and may be worsened by it.
If the patient stays unstable after volume control, remember that angioembolization and retroperitoneal packing address different bleeding sources and can be used together.
This 2013 JAAOS review covers the initial evaluation, classification, and acute resuscitation of pelvic fractures — from benign lateral compression injuries to life-threatening unstable patterns — with a focus on how fracture type should drive hemorrhage control strategy.
When you see a hemodynamically unstable patient with a pelvic fracture, apply a binder at the trochanters immediately as a bridge — then classify the pattern: APC and VS injuries close the ring and benefit from compression, while LC injuries do not and may be worsened by it.
If the patient stays unstable after volume control, remember that angioembolization and retroperitoneal packing address different bleeding sources and can be used together.