TY - CHAP M1 - Book, Section TI - Pelvis A1 - Velmahos, George C. A2 - Moore, Ernest E. A2 - Feliciano, David V. A2 - Mattox, Kenneth L. PY - 2017 T2 - Trauma, 8e AB - Pelvic injuries (PI) are frequent, particularly after blunt trauma (9% of all blunt trauma patients), and range from clinically insignificant minor pelvic fractures to life-threatening injuries that produce exsanguination (0.5% of all blunt trauma patients). The overall mortality rate of patients with pelvic ring fractures is approximately 6%. Uncontrolled pelvic hemorrhage accounts for 39% of related deaths, whereas associated head injury is responsible for 31% of the deaths. AP compression and vertical shear injuries are associated with a higher incidence of pelvic vascular injury and hemorrhage. There is little agreement about the preferred methods of management and, therefore, guidelines are vague or not followed. However, the recent evolution of rapid pelvic stabilization by external fixation or pelvic binding and of bleeding control by angiographic embolization or preperitoneal pelvic packing has significantly decreased the mortality rates of devastating PI. A multidisciplinary approach is crucial, as no single specialty has all the skills or controls all the resources that can be used to produce ultimately outcomes. Emergency medicine physicians, trauma and critical care surgeons, orthopedic surgeons, and interventional radiologists should play protagonist roles in a well-orchestrated trauma team that manages these complex patients. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1141189480 ER -