Preperitoneal pelvic packing/external fixation with secondary angioembolization: optimal care for life-threatening hemorrhage from unstable pelvic fractures.

@article{Burlew2011PreperitonealPP,
  title={Preperitoneal pelvic packing/external fixation with secondary angioembolization: optimal care for life-threatening hemorrhage from unstable pelvic fractures.},
  author={C Clay Cothren Burlew and Ernest Eugene Moore and Wade R. Smith and Jeffrey R. Johnson and Walter L. Biffl and Carlton C. Barnett and Philip F. Stahel},
  journal={Journal of the American College of Surgeons},
  year={2011},
  volume={212 4},
  pages={628-35; discussion 635-7}
}
BACKGROUND Preperitoneal pelvic packing/external fixation (PPP/EF) for controlling life-threatening hemorrhage from pelvic fractures is used widely in Europe but has not been adopted in North America. We hypothesized that PPP/EF arrests hemorrhage rapidly, facilitates emergent operative procedures, and ensures efficient use of angioembolization (AE). STUDY DESIGN In 2004 we initiated a PPP/EF guideline for pelvic fracture patients with refractory shock requiring ongoing blood transfusion at… CONTINUE READING
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