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Western Trauma Association
Management of Pelvic Fracture with Hemodynamic Instability
Annotation for Point E
Patients with hemodynamic instability and unstable pelvic
fracture being transported to the operating room for
intra-abdominal injury may benefit from more sophisticated
skeletal stabilization with an anterior pelvic fixator or
posterior pelvic C clamp.29,30
The abdominal bleeding sources should be rapidly identified
and controlled. Damage control principles should be
observed. If the patient stabilizes after laparotomy (with
pelvic external fixator placement if appropriate); the
patient should be transported to an intensive care setting
for continued resuscitation.
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