Clinical Case Database / Category: Patient Management

Pelvic fracture management

Publication details

N Frew, A Acornley
Foundation Years Journal, volume 7, issue 2, p.38 (123Doc Education, London, February 2013)


Following a high speed road traffic accident a patient is airlifted to hospital where the trauma team are assembled. The case is used to illustrate the management of high energy pelvic injuries, and the management of major haemorrhage in this context. Low energy pelvic injures are not considered.

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N Frew

Orthopaedic Registrar
Airedale General Hospital
West Yorkshire

A Acornley (Corresponding author)

Consultant Orthopaedic Surgeon
Airedale General Hospital
West Yorkshire


1.  No author stated. Advanced Trauma Life Support Student Manual. 8th Edition. Chicago: American College of surgeons, 2008.

2.  Slater SJ, Barron DA. Pelvic fractures-A guide to classifiation and management. Eur J Radiol. 2010 Apr;74(1):16-23. Epub 2010 Mar 12.

3.  Hak DJ, Smith WR, Suzuki T. Management of hemorrhage in life-threatening pelvic fracture. J Am Acad Orthop Surg. 2009 Jul;17(7):447-57. Review

4.  Alonso JE, Lee J, Burgess AR, et al: Management of complex orthopedic injuries. Surg Clin North Am 1996; 76:879-903.

5.  Fangio P, Asehnoune K, Edouard A, et al. Early embolisation and vasopressor administration for management of life-threatening hemorrhage from pelvic fracture. J Trauma 2005;58(5):978–84.

6.  Velmahos GC, Konstantinos KG, Vassiliu P, et al. A prospective study on the safety and effiacy of angiographic embolisation for pelvic and visceral injuries. J Trauma 2002;52(2):303–8.

7.  Agolini SF, Shah K, Jaffe J, et al. Arterial embolization is a rapid and effective technique for controlling pelvic fracture haemorrhage. J Trauma 1997;43:395–9.

8.  Panetta T, Sclafani SJ, Goldstein AS, et al. Percutaneous transcatheter embolization for massive bleeding from pelvic fractures. J Trauma 1985;25:1021–9.

9.  Solomon L, Warwick D, Nayagam S. Apley’s System of Orthopaedics and Fractures. 9th Edition. London: Hodder Arnold.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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