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Complex Pelvic Fracture Management 

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Complex Pelvic Fracture Management​
AAST Grand Rounds, January 18, 2017

Presented by:
Clay Cothren Burlew, MD, Denver Health Medical Center, Denver, Colorado

Moderated by:
Nicole Stassen, MD, University of Rochester Medical Center, Rochester, New York

Referenced in presentation:

Preperitoneal pelvic packing reduces mortality in patients with life-threatening hemorrhage due to unstable pelvic fractures.
Burlew CC, Moore EE, Stahel PF, Geddes AE, Wagenaar AE, Pieracci FM, Fox CJ, Campion EM, Johnson JL, Mauffrey C.
J Trauma Acute Care Surg. 2017 Feb;82(2):233-242. 

Angiographic embolization for hemorrhage following pelvic fracture: Is it "time" for a paradigm shift?
Tesoriero RB, Bruns BR, Narayan M, Dubose J, Guliani SS, Brenner ML, Boswell S, Stein DM, Scalea TM.
J Trauma Acute Care Surg. 2017 Jan;82(1):18-26.

Clinical significance of computed tomography contrast extravasation in blunt trauma patients with a pelvic fracture.
Juern JS, Milia D, Codner P, Beckman M, Somberg L, Webb T, Weigelt JA.
J Trauma Acute Care Surg. 2017 Jan;82(1):138-140.

Reduced need for extraperitoneal pelvic packing for severe pelvic fractures is associated with improved resuscitation strategies.
Gaski IA, Barckman J, Naess PA, Skaga NO, Madsen JE, Kløw NE, Flugsrud G, Gaarder C.
J Trauma Acute Care Surg. 2016 Oct;81(4):644-51.

Current management of hemorrhage from severe pelvic fractures: Results of an American Association for the Surgery of Trauma multi-institutional trial.
Costantini TW, Coimbra R, Holcomb JB, Podbielski JM, Catalano R, Blackburn A, Scalea TM, Stein DM, Williams L, Conflitti J, Keeney S, Suleiman G, Zhou T, Sperry J, Skiada D, Inaba K, Williams BH, Minei JP, Privette A, Mackersie RC, Robinson BR, Moore FO; AAST Pelvic Fracture Study Group.
J Trauma Acute Care Surg. 2016 May;80(5):717-23; discussion 723-5. 

Survival of severe blunt trauma patients treated with resuscitative endovascular balloon occlusion of the aorta compared with propensity score-adjusted untreated patients.
Norii T, Crandall C, Terasaka Y.
J Trauma Acute Care Surg. 2015 Apr;78(4):721-8.

Are we delivering two standards of care for pelvic trauma? Availability of angioembolization after hours and on weekends increases time to therapeutic intervention.
Schwartz DA, Medina M, Cotton BA, Rahbar E, Wade CE, Cohen AM, Beeler AM, Burgess AR, Holcomb JB.
J Trauma Acute Care Surg. 2014 Jan;76(1):134-9.

A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation.
Brenner ML, Moore LJ, DuBose JJ, Tyson GH, McNutt MK, Albarado RP, Holcomb JB, Scalea TM, Rasmussen TE.
J Trauma Acute Care Surg. 2013 Sep;75(3):506-11. 

Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift.
Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, Smith WR.
J Trauma. 2007 Apr;62(4):834-9; discussion 839-42.