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Historically, the mortality rate for hemodynamically unstable patients with pelvic fractures has been 40% to 60%. To determine if the adoption of new treatment algorithms at a level 1 trauma center in Hong Kong affected mortality rates, researchers reviewed records for patients with pelvic ring fractures, pelvis abbreviated injury severity scores of 4 or 5, and hypotension either on emergency department arrival or after resuscitation with 2 L of crystalloid.
Outcomes were compared for three different management phases: pre-angiography (1996–2001), angiography (2002–mid 2008), and retroperitoneal packing (mid 2008–2011). In all phases, a pelvic binder was applied and patients with persistent hypotension despite resuscitation also received ext…