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Research Article| Volume 13, ISSUE 5, P375-381, March 1982

Haemorrhage from pelvic fractures: dangers and treatment

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      Abstract

      A simple, non-invasive method of control of haemorrhage from severe fractures of the pelvis is described. This method is the application of a pneumatic splint from the costal margin to the toes; the splint is then inflated to a pressure of 30 cm of water. The splint was originally designed for the control of leaking aortic aneurysms. We have applied it to 4 patients with severe fractures of the pelvis. There was dramatic improvement in 2 of these patients in whom the bleeding had continued in spite of energetic initial resuscitation.
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      References

        • Crile G.W.
        Blood Pressure in Surgery. Lippincott, Philadelphia1903: 282
        • Flint jun., L.M.
        • Brown A.
        • Richardson J.D.
        • et al.
        Definitive control of bleeding from severe pelvic fractures.
        Ann. Surg. 1979; 189: 709
        • Huittinen V.M.
        • Slätis P.
        Post-mortem angiography and dissection of the hypogastric artery in pelvic fractures.
        Surgery. 1973; 73: 454
        • Lewis D.G.
        • Mackenzie A.
        • McNeill I.F.
        The use of the G-suit in the control of bleeding arising from hypocoagulation.
        Ann. R. Coll. Surg. Engl. 1973; 52: 53
        • Matalon T.S.A.
        • Athanasoulis C.A.
        • Margolies M.N.
        • et al.
        Haemorrhage with pelvic fractures: efficacy of transcatheter embolisation.
        AJR. 1979; 133: 859
        • Miller W.E.
        Massive haemorrhage in fractures of the pelvis.
        South. Med. J. 1963; 56: 933
        • Patterson F.P.
        • Morton K.S.
        On the cause of death in fractures of the pelvis.
        J. Bone Joint Surg. 1973; 55B: 660
        • Rothenberger D.A.
        • Fischer R.P.
        • Strate R.G.
        • et al.
        The mortality associated with pelvic fractures.
        Surgery. 1978; 84: 356
        • Seavers R.
        • Lynch J.
        • Ballard R.
        • et al.
        Hypogastric artery ligation for uncontrollable haemorrhage in acute pelvic trauma.
        Surgery. 1964; 55: 516