Pelvic fracture-related hypotension: A review of contemporary adjuncts for hemorrhage control

Joseph J. DuBose*, Clay Cothren Burlew, Bellal Joseph, Meghan Keville, Melike Harfouche, Jonathan Morrison, Charles J. Fox, Jennifer Mooney, Robert O'Toole, Gerard Slobogean, Lucas S. Marchand, Demetrios Demetriades, Nicole L. Werner, Elizabeth Benjamin, Todd Costantini

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

ABSTRACT Major pelvic hemorrhage remains a considerable challenge of modern trauma care associated with mortality in over a third of patients. Efforts to improve outcomes demand continued research into the optimal employment of both traditional and newer hemostatic adjuncts across the full spectrum of emergent care environments. The purpose of this review is to provide a concise description of the rationale for and effective use of currently available adjuncts for the control of pelvic hemorrhage. In addition, the challenges of defining the optimal order and algorithm for employment of these adjuncts will be outlined.

Original languageEnglish
Pages (from-to)E93-E103
JournalJournal of Trauma and Acute Care Surgery
Volume91
Issue number4
DOIs
StatePublished - 1 Oct 2021
Externally publishedYes

Keywords

  • Pelvic hemorrhage
  • embolization
  • endovascular
  • hypotension
  • pelvic packing

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