
Classification of Pelvic Fractures
There are various systems for classification, these are the 2 most often used: Tile classification and the Young-Burgess classification
There are various systems for classification, these are the 2 most often used: Tile classification and the Young-Burgess classification
Pelvic Arterial Injury: potentially lethal complication of pelvic trauma; more common that previously reported: >10%
Pre-peritoneal packing is a method of directly packing the retroperitoneum without the need for a laparotomy
Blunt Cardiac Injury: spectrum from asymptomatic with minor enzyme rises to fulminant cardiac failure
Chest trauma is very painful as rest is not possible, pain is experienced with every breath. A multi-modal approach ideal with MDT involvement (ICU, anaesthesia and pain)
Pelvic Trauma: Angiography and Embolisation. In centers with interventional radiology capability immediately available these patients may be taken to the angiography suite for embolization
Aortic Injury Investigation Comparison: TOE; angiography; CT scan
Acute Traumatic Spinal Cord Injury: patient requires synchronous resuscitation, evaluation, treatment and early transfer to a spinal unit following initial stabilisation
Assessment of abdominal trauma requires the identification of immediately life-threatening injuries on primary survey, and delayed life threats on secondary survey.
Abdominal CT versus DPL: DPL has be replaced by FAST scan in nearly all situationspenetrating abdominal injuries -> require laparotomy
Haematuria in trauma may be microscopic (with or without symptoms) or macroscopic. In general, the greater the degree of hematuria the greater the risk of significant intra-abdominal injury (including non-urinary tract structures)
Reviewed and revised 5 August 2015 OVERVIEW Haemostatic resuscitation is a key component of damage control resuscitation and forms the basis of most massive transfusion protocols involves resuscitation with blood components resembling whole blood aims to avoid or ameliorate acute coagulopathy…