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Prehospital Treatment of Suspected Pelvic Injuries

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Pelvic Ring Fractures

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Abstract

Treatment of pelvic ring injuries already starts in the prehospital setting. It is of relevance not to overlook these injuries to avoid unnecessary hemodynamic compromise. This chapter presents the basic time-dependent measures to identify patients at risk of pelvic injuries.

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References

  1. Gänsslen A, Giannoudis P, Pape H. Hemorrhage in pelvic fracture: who needs angiography? Curr Opin Crit Care. 2003;9:515–23.

    Article  PubMed  Google Scholar 

  2. Gänsslen A, Krettek C, Pape H, Machtens S. Acute management of pelvic fractures: a european perspective. In: Smith WR, Ziran BH, Morgan SJ, editors. Fractures of the pelvis and acetabulum. New York: Informa Healthcare USA, Inc.; 2007; ISBN-13: 978-0-8247-2846-5.

    Google Scholar 

  3. Lee C, Porter K. The prehospital management of pelvic fractures. Emerg Med J. 2007;24:130–3.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wayne M. New concepts in the prehospital and ED management of pelvic fractures. Isr J Emerg Med. 2006;6:39–42.

    Google Scholar 

  5. Bosch U, Pohlemann T, Haas N, Tscherne H. Klassifikation und Management des komplexen Beckentraumas. Unfallchirurg. 1992;95:189–96.

    CAS  PubMed  Google Scholar 

  6. Pohlemann T, Bosch U, Gänsslen A, Tscherne H. The Hannover experience in management of pelvic fractures. Clin Orthop. 1994;305:69–80.

    Article  Google Scholar 

  7. Pohlemann T, Gänsslen A, Hartung S. In: Tscherne H, editor. Beckenverletzungen/pelvic injuries, results of the german multicenter study group. Hefte zu der Unfallchirurg. Heidelberg: Springer-Verlag; 1998. p. 1–402.

    Google Scholar 

  8. Gänsslen A, Pohlemann T, Paul C, Lobenhoffer P, Tscherne H. Epidemiology of pelvic ring injuries. Injury. 1996;Suppl. 1(Part 1):13–20.

    Article  Google Scholar 

  9. Balogh Z, King K, Mackay P, McDougall D, Mackenzie S, Evans J, Lyons T, Julie A, Evans R, Deane S. The epidemiology of pelvic ring fractures: a population-based study. J Trauma. 2007;63:1066–73.

    Article  PubMed  Google Scholar 

  10. Gänsslen A, Krettek C. Épidémiologie des fractures instables de l’anneau pelvien et des lésions associées. In: Nordin JY, Tonetti J, editors. Fractures et disjonctions de l’anneau pelvien de l’adulte. Masson: Elsevier; 2006. ISBN-10: 2842998146.

    Google Scholar 

  11. Shaath M, Koury KL, Gibson PD, Lelkes VM, Hwang JS, Ippolito JA, Adams MR, Sirkin MS, Reilly MC. Analysis of pelvic fracture pattern and overall orthopaedic injury burden in children sustaining pelvic fractures based on skeletal maturity. J Child Orthop. 2017;11:1863–2548.

    Article  Google Scholar 

  12. Nabaweesi R, Arnold M, Chang D, Rossberg M, Ziegfeld S, Sawaya D, Bathurst M, Colombani P, Abdullah F. Prehospital predictors of risk for pelvic fractures in pediatric trauma patients. Pediatr Surg Int. 2008;24:1053–6.

    Article  PubMed  Google Scholar 

  13. Coccolini F, Stahel P, Montori G, Biffl W, Horer T, Catena F, Kluger Y, Moore E, Peitzman A, Ivatury R, Coimbra R, Fraga G, Pereira B, Rizoli S, Kirkpatrick A, Leppaniemi A, Manfredi R, Magnone S, Chiara O, Solaini L, Ceresoli M, Allievi N, Arvieux C, Velmahos G, Balogh Z, Naidoo N, Weber D, Abu-Zidan F, Sartelli M, Ansaloni L. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. 2017;12:5.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Pohlemann R. Bosch, Tscherne, Chapter 1.7: Notfallbehandlung und Komplextrauma. In: Tscherne H, Pohlemann T, editors. Tscherne Unfallchirurgie: Becken und Acetabulum. Berlin, Heidelberg, New York: Springer-Verlag; 1998. ISBN-10: 364263754X.

    Google Scholar 

  15. Petrisor B, Bhandari M. Injuries to the pelvic ring: incidence, classification, associated injuries and mortality rates. Curr Orthop. 2005;19:327–33.

    Article  Google Scholar 

  16. ATLS. Advanced trauma life support for doctors, ATLS, instructor course manual. Chicago: American College of Surgeons; 1997.

    Google Scholar 

  17. Esmer E, Derst P, Lefering R, Schulz M, Siekmann H, Delank K, DGU® T. Präklinische Einschätzung der Verletzungsart und—schwere beim Schwerverletzten durch den Notarzt. Unfallchirurg. 2017;120:409–16.

    Article  CAS  PubMed  Google Scholar 

  18. Duane T, Dechert T, Wolfe L, Brown H, Aboutanos M, Malhotra A, Ivatury R. Clinical examination is superior to plain films to diagnose pelvic fractures compared to CT. Am Surg. 2008;74:476–9.

    Article  PubMed  Google Scholar 

  19. Duane T, Tan B, Golay D, Cole F, Weireter L, Britt L. Blunt trauma and the role of routine pelvic radiographs: a prospective analysis. J Trauma. 2002;53:463–8.

    Article  PubMed  Google Scholar 

  20. Gonzalez R, Fried P, Bukhalo M. The utility of clinical examination in screening for pelvic fractures in blunt trauma. J Am Coll Surg. 2002;195:740.

    Google Scholar 

  21. Kaneriga P, Schweitzer M, Spettell C, Cohen M, Karasick D. The cost-effectiveness of routine pelvic radiography in the evaluation of blunt trauma patients. Skelet Radiol. 1999;28:271–3.

    Article  Google Scholar 

  22. Pehle B, Nast-Kolb D, Oberbeck R, Waydhas C, Ruchholtz S. Wertigkeit der körperlichen und radiologischen Basisdiagnostik des Beckens in der Schockraumbehandlung. Unfallchirurg. 2003;106:642–8.

    Article  CAS  PubMed  Google Scholar 

  23. Salvino C, Esposito T, Smith D, Dries D, Marshall W, Flisak M, Gamelli R. Routine pelvic X-ray studies in awake blunt trauma patients: a sensible policy. J Trauma. 1992;33:413–6.

    Article  CAS  PubMed  Google Scholar 

  24. Tien I, Dufel S. Does ethanol affect the reliability of pelvic bone examination in blunt trauma? Ann Emerg Med. 2000;36:451–5.

    Article  CAS  PubMed  Google Scholar 

  25. Yugueros P, Sarmiento J, Garcia A, Ferrada R. Unnecessary use of pelvic X-ray in blunt trauma. J Trauma. 1995;39:722–5.

    Article  CAS  PubMed  Google Scholar 

  26. Sauerland S, Bouillon B, Rixen D, Raum M, Koy T, Neugebauer E. The reliability of clinical examination in detecting pelvic fractures in blunt trauma patients: a meta-analysis. Arch Orthop Trauma Surg. 2004;124:123–8.

    Article  PubMed  Google Scholar 

  27. Mackersie R, Shackford S, Garfin S, Hoyt D. Major skeletal injuries in the obtunded trauma patient: a case for routine radiological survey. J Trauma. 1988;28:1450–4.

    Article  CAS  PubMed  Google Scholar 

  28. Shlamovitz G, Mower W, Bergman J, Chuang K, Crisp J, Hardy D, Sargent M, Shroff S, Snyder E, Morgan M. How (un)useful is the pelvic ring stability examination in diagnosing mechanically unstable pelvic fractures in blunt trauma patients? J Trauma. 2009;66:815–20.

    Article  PubMed  Google Scholar 

  29. Wohlrath B, Trentzsch H, Hoffmann R, Kremer M, Schmidt-Horlohè K, Schweigkofler U. Präklinische und klinische Versorgung der instabilen Beckenverletzung. Ergebnisse einer Online-Umfrage Unfallchirurg. 2016;119:755–62.

    CAS  Google Scholar 

  30. Schweigkofler U, Wohlrath B, Trentsch H, Greipel J, Tamimi N, Hoffmann R, Wincheringer D. Diagnostics and early treatment in prehospital and emergency-room phase in suspicious pelvic ring fractures. Eur J Trauma Emerg Surg. 2017;44:747. https://doi.org/10.1007/s00068-017-0860-0.

    Article  PubMed  Google Scholar 

  31. Bilello J, Davis J, Lemaster D, Townsend R, Parks S, Sue L, Kaups K, Groom T, Egbalieh B. Prehospital hypotension in blunt trauma: identifying the “crump factor”. J Trauma. 2011;70:1038–42.

    Article  PubMed  Google Scholar 

  32. Franklin G, Boaz P, Spain D, Lukan J, Carrillo E, Richardson J. Prehospital hypotension as a valid indicator of trauma team activation. J Trauma. 2000;48:1034–7.

    Article  CAS  PubMed  Google Scholar 

  33. Lalezarzadeh F, Wisniewski P, Huynh K, Loza M, Gnanadev D. Evaluation of prehospital and emergency department systolic blood pressure as a predictor of in-hospital mortality. Am Surg. 2009;75:1009–14.

    Article  PubMed  Google Scholar 

  34. Lipsky A, Gausche-Hill M, Henneman P, Loffredo A, Eckhardt P, Cryer H, de Virgilio C, Klein S, Bongard F, Lewis R. Prehospital hypotension is a predictor of the need for an emergent, therapeutic operation in trauma patients with normal systolic blood pressure in the emergency department. J Trauma. 2006;61:1228–32.

    Article  PubMed  Google Scholar 

  35. Guyette F, Meier E, Newgard C, McKnight B, Daya M, Bulger E, Powell J, Brasel K, Kerby J, Egan D, Sise M, Coimbra R, Fabian T, Hoyt D, Investigators R. A comparison of prehospital lactate and systolic blood pressure for predicting the need for resuscitative care in trauma transported by ground. J Trauma Acute Care Surg. 2015;78:600–6.

    Article  CAS  PubMed  Google Scholar 

  36. Guyette F, Suffoletto B, Castillo J, Quintero J, Callaway C, Puyana J. Prehospital serum lactate as a predictor of outcomes in trauma patients: a retrospective observational study. J Trauma. 2011;70:782–6.

    Article  CAS  PubMed  Google Scholar 

  37. Lewis C, Naumann D, Crombie N, Midwinter M. Prehospital point-of-care lactate following trauma: a systematic review. J Trauma Acute Care Surg. 2016;81:748–55.

    Article  CAS  PubMed  Google Scholar 

  38. Shah A, Guyette F, Suffoletto B, Schultz B, Quintero J, Predis E, King C. Diagnostic accuracy of a single point-of-care prehospital serum lactate for predicting outcomes in pediatric trauma patients. Pediatr Emerg Care. 2013;29:715–9.

    Article  PubMed  Google Scholar 

  39. Rossaint R, Bouillon B, Cerny V, Coats T, Duranteau J, Fernández-Mondéjar E, Filipescu D, Hunt B, Komadina R, Nardi G, Neugebauer E, Ozier Y, Riddez L, Schultz A, Vincent J, Spahn D. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Crit Care. 2016;20:100. https://doi.org/10.1186/s13054-016-1265-x.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Spahn D, Bouillon B, Cerny V, Coats T, Duranteau J, Fernández-Mondéjar E, Filipescu D, Hunt B, Komadina R, Nardi G, Neugebauer E, Ozier Y, Riddez L, Schultz A, Vincent J, Rossaint R. Management of bleeding and coagulopathy following major trauma: an updated European guideline. Crit Care. 2013;17:R76. https://doi.org/10.1186/cc12685.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Gänsslen A, Hildebrand F, Pohlemann T. Management of hemodynamic unstable patients “in extremis” with pelvic ring fractures. Acta Chir Orthop Traumatol Cechoslov. 2012;79:193–202.

    Google Scholar 

  42. Dickinson K, Roberts I. Medical anti-shock trousers (pneumatic anti-shock garments) for circulatory support in patients with trauma (Cochrane review). The Cochrane library, issue 2. Oxford: Update Software; 2003.

    Google Scholar 

  43. Ali J, Qi W. Fluid and electrolyte deficit with prolonged pneumatic antishock garment application. J Trauma. 1995;38:612–5.

    Article  CAS  PubMed  Google Scholar 

  44. Christensen K. Pneumatic antishock garments (PASG): do they precipitate lower-extremity compartment syndromes? J Trauma. 1986;26:1102–5.

    Article  CAS  PubMed  Google Scholar 

  45. Clarke G, Mardel S. Use of MAST to control massive bleeding from pelvic injuries. Injury. 1993;24:628–9.

    Article  CAS  PubMed  Google Scholar 

  46. Frank L. Is MAST in the past? The pros and cons of MAST usage in the field. JEMS. 2000;25:38–41.

    CAS  PubMed  Google Scholar 

  47. Vahedi M, Ayuyao A, Parsa M. Pneumatic antishock garmentassociated compartment syndrome in injured lower extremities. J Trauma. 1995;38:616–8.

    Article  CAS  PubMed  Google Scholar 

  48. Routt ML Jr, Falicov A, Woodhouse E, Schildhauer TA. Circumferential pelvic antishock sheeting: a temporary resuscitation aid. J Orthop Trauma. 2002;16(1):45–8.

    Article  PubMed  Google Scholar 

  49. Simpson T, Krieg JC, Heuer F, Bottlang M. Stabilization of pelvic ring disruptions with a circumferential sheet. J Trauma. 2002;52(1):158–61.

    PubMed  Google Scholar 

  50. Duxbury M, Rossiter N, Lambert A. Cable ties for pelvic stabilisation. Ann R Coll Surg Engl. 2003;85:130.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Gardner M, Parada S, Routt M. Internal rotation and ta** of the lower extremities for closed pelvic reduction. J Orthop Trauma. 2009;23:361–4.

    Article  PubMed  Google Scholar 

  52. Nunn T, Cosker T, Bose D, Pallister I. Immediate application of improvised pelvic binder as first step in extended resuscitation from life-threatening hypovolaemic shock in conscious patients with unstable pelvic injuries. Injury. 2007;38:125–8.

    Article  PubMed  Google Scholar 

  53. Baumgaertel F, Wilke M, Gotzen L. Experimentelle Erprobung eines pneumatischen Gürtels zur äußeren Beckenkompression. Swiss Surg. 1996;Suppl. 2:42.

    Google Scholar 

  54. Vermeulen B, Peter R, Hoffmeyer P, Unger P. Prehospital stabilization of pelvic dislocations: a new strap belt to provide temporary hemodynamic stabilization. Swiss Surg. 1999;5:43–6.

    Article  CAS  PubMed  Google Scholar 

  55. Bottlang M, Krieg J, Mohr M, Simpson T, Madey S. Emergent management of pelvic ring fractures with use of circumferential compression. J Bone Joint Surg Am. 2002;84(Suppl. 2):43–7.

    Article  PubMed  Google Scholar 

  56. Bottlang M, Simpson T, Sigg J, Krieg JC, Madey SM, Long WB. Noninvasive reduction of open-book pelvic fractures by circumferential compression. J Orthop Trauma. 2002;16(6):367–73.

    Article  PubMed  Google Scholar 

  57. Bonner T, Eardley W, Newell N, Masouros S, Matthews J, Gibb I, Clasper J. Accurate placement of a pelvic binder improves reduction of unstable fractures of the pelvic ring. J Bone Joint Surg (Br). 2011;93:1524–8.

    Article  CAS  Google Scholar 

  58. Pizanis A, Pohlemann T, Burkhardt M, Aghayev E, Holstein J. Emergency stabilization of the pelvic ring: clinical comparison between three different techniques. Injury. 2013;44:1760–4.

    Article  CAS  PubMed  Google Scholar 

  59. Prasarn M, Conrad B, Small J, Horodyski M, Rechtine G. Comparison of circumferential pelvic sheeting versus the T-POD on unstable pelvic injuries: a cadaveric study of stability. Injury. 2013;44:1756–9.

    Article  PubMed  Google Scholar 

  60. Prasarn M, Horodyski M, Conrad B, Rubery P, Dubose D, Small J, Rechtine G. Comparison of external fixation versus the trauma pelvic orthotic device on unstable pelvic injuries: a cadaveric study of stability. J Trauma Acute Care Surg. 2012;72:1671–5.

    Article  PubMed  Google Scholar 

  61. DeAngelis N, Wixted J, Drew J, Eskander M, Eskander J, French B. Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures: a cadaveric study. Injury. 2008;39:903–6.

    Article  PubMed  Google Scholar 

  62. Krieg J, Mohr M, Ellis T, Simpson T, Madey S, Bottlang M. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: a clinical trial. J Trauma. 2005;59:959–664.

    Article  Google Scholar 

  63. Fu C, Wu Y, Liao C, Kang S, Wang S, Hsu Y, Lin B, Yuan K, Kuo I, Ouyang C. Pelvic circumferential compression devices benefit patients with pelvic fractures who need transfers. Am J Emerg Med. 2013;31:1432–6.

    Article  PubMed  Google Scholar 

  64. Yong E, Vasireddy A, Davies G, Lockey D. Pre-hospital pelvic girdle injury: improving diagnostic accuracy in a physician-led trauma service. Injury. 2016;47:383–8.

    Article  CAS  PubMed  Google Scholar 

  65. Jowett A, Bowyer G. Pressure characteristics of pelvic binders. Injury. 2007;38:118–21.

    Article  CAS  PubMed  Google Scholar 

  66. Knops S, Van Lieshout E, Spanjersberg W, Patka P, Schipper I. Randomised clinical trial comparing pressure characteristics of pelvic circumferential compression devices in healthy volunteers. Injury. 2011;42:1020–6.

    Article  PubMed  Google Scholar 

  67. Bakhshayesh P, Boutefnouchet T, Tötterman A. Effectiveness of non invasive external pelvic compression: a systematic review of the literature. Scand J Trauma Resusc Emerg Med. 2016;24:73. https://doi.org/10.1186/s13049-016-0259-7.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Spanjersberg W, Knops S, Schep N, van Lieshout E, Patka P, Schipper I. Effectiveness and complications of pelvic circumferential compression devices in patients with unstable pelvic fractures: a systematic review of literature. Injury. 2009;40:1031.

    Article  PubMed  Google Scholar 

  69. DGU PGUG. Level 3 guideline on the treatment of patients with severe/multiple injuries. AWMF Register-Nr. 012/019. Eur J Trauma Emerg Surg. 2018;44(Suppl 1):S3–S271.

    Google Scholar 

  70. Hinds J, Allen G, Morris C. Trauma and motorcyclists: born to be wild, bound to be injured? Injury. 2007;38:1131–8.

    Article  PubMed  Google Scholar 

  71. Lee C, Porter K. Prehospital management of lower limb fractures. Emerg Med J. 2005;2005:22.

    Google Scholar 

  72. O’Gorman M, Trabulsy P, Pilcher D. Zero time prehospital IV. J Trauma. 1989;29:84–6.

    Article  PubMed  Google Scholar 

  73. Pons P, Moore E, Cusick J. Prehospital venous access in an urban paramedic system: a prospective on-scene analysis. J Trauma. 1988;28:1460–3.

    Article  CAS  PubMed  Google Scholar 

  74. NICE. Pre-hospital initiation of fluid replacement therapy in trauma. National Institute for Health and Clinical Excellence (NICE). London: NICE; 2004.

    Google Scholar 

  75. Bickell W, Wall M, Pepe P. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl Med J. 1994;331:1105–9.

    Article  CAS  Google Scholar 

  76. Burkhardt M, Kristen A, Culemann U, Koehler D, Histing T, Holstein J, Pizanis A, Pohlemann T, Register GPI. Pelvic fracture in multiple trauma: are we still up-to-date with massive fluid resuscitation? Injury. 2014;45S:S70–5.

    Article  Google Scholar 

  77. Geeraedts LJ, Pothof L, Caldwell E, de Lange-de Klerk E, D’Amours S. Prehospital fluid resuscitation in hypotensive trauma patients: do we need a tailored approach? Injury. 2015;46:4–9.

    Google Scholar 

  78. Qasim Z, Brenner M, Menaker J, Scalea T. Resuscitative endovascular balloon occlusion of the aorta. Resuscitation. 2015;96:175–279.

    Article  Google Scholar 

  79. Smith I, James R, Dretzke J, Midwinter M. Prehospital blood product resuscitation for trauma: a systematic review. Shock. 2016;46:3–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  80. Sadek S, Lockey D, Lendrum R, Perkins Z, Price J, Davies G. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the pre-hospital setting: an additional resuscitation option for uncontrolled catastrophic haemorrhage. Resuscitation. 2016;107:135–8.

    Article  PubMed  Google Scholar 

  81. Morrison J, Ross J, Rasmussen T, Midwinter M, Jansen J. Resuscitative endovascular balloon occlusion of the aorta: a gap analysis of severely injured UK combat casualties. Shock. 2014;41:388–93.

    Article  PubMed  Google Scholar 

  82. Reva V, Hörer T, Makhnovskiy A, Sokhranov M, Samokhvalov I, DuBose J. Field and en route resuscitative endovascular occlusion of the aorta: a feasible military reality? J Trauma Acute Care Surg. 2017;83(Suppl. 1):S170–6.

    Article  PubMed  Google Scholar 

  83. Soudry E, Stein M. Prehospital management of uncontrolled bleeding in trauma patients: nearing the light at the end of the tunnel. Isr Med Assoc J. 2004;6:485–9.

    PubMed  Google Scholar 

  84. Ausset S, Glassberg E, Nadler R, Sunde G, Cap A, Hoffmann C, Plang S, Sailliol A. Tranexamic acid as part of remote damage-control resuscitation in the prehospital setting: a critical appraisal of the medical literature and available alternatives. J Trauma Acute Care Surg. 2015;78(Suppl. 1):S70–5.

    Article  CAS  PubMed  Google Scholar 

  85. Lier H, Bernhard M, Knapp J, Buschmann C, Bretschneider I, Hossfeld B. Ansätze zur prähospitalen Gerinnungstherapie. Aktuelle Übersicht für die zivile Notfallmedizin Anästhesist. 2017;66:867–78.

    CAS  Google Scholar 

  86. Neeki M, Dong F, Toy J, Vaezazizi R, Powell J, Jabourian N, Jabourian A, Wong D, Vara R, Seiler K, Pennington T, Powell J, Yoshida-McMath C, Kissel S, Schulz-Costello K, Mistry J, Surrusco M, O’Bosky K, Van Stralen D, Ludi D, Sporer K, Benson P, Kwong E, Pitts R, Culhane J, Borger R. Efficacy and safety of tranexamic acid in prehospital traumatic hemorrhagic shock: outcomes of the Cal-PAT study. West J Emerg Med. 2017;18:673–83.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Wafaisade A, Lefering R, Bouillon B, Böhmer A, Gäßler M, Ruppert M, DGU T. Prehospital administration of tranexamic acid in trauma patients. Crit Care. 2016;20:143.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Mitra B, Cameron P, Mori A, Maini A, Fitzgerald M, Paul E, Street A. Early prediction of acute traumatic coagulopathy. Resuscitation. 2011;82:1208–13.

    Article  PubMed  Google Scholar 

  89. Peltan I, Rowhani-Rahbar A, Vande Vusse L, Caldwell E, Rea T, Maier R, Watkins T. Development and validation of a prehospital prediction model for acute traumatic coagulopathy. Crit Care. 2016;20:371.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Jenkins D, Stubbs J, Williams S, Berns K, Zielinski M, Strandenes G, Zietlow S. Implementation and execution of civilian remote damage control resuscitation programs. Shock. 2014;41(Suppl 1):84–9.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. General and Sports Trauma Department, University Hospital Merkur Zagreb, Zagreb, Croatia

    Mario Staresinic

  2. Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

    Bore Bakota

  3. Department of Orthopedics and Trauma Surgery, AUVA Trauma Hospital Klagenfurt, Klagenfurt, Austria

    Stephan Grechenig

  4. Department of Trauma Surgery, University Hospital Regensburg, Regensburg, Germany

    Stephan Grechenig

  5. Department of Trauma Surgery, Orthopedics and Hand Surgery, Hospital Wolfsburg, Wolfsburg, Germany

    Axel Gänsslen

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  1. Mario Staresinic
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  4. Axel Gänsslen
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Editors and Affiliations

  1. Department of Trauma Surgery, Orthopedics and Hand Surgery, Hospital Wolfsburg, Wolfsburg, Germany

    Axel Gänsslen

  2. Orthopaedics and Trauma Surgery, Helsinki University Hospital, Helsinki, Finland

    Jan Lindahl

  3. Klinik fĂĽr Unfallchirurgie, Krankenhaus Barmherzige BrĂĽder, Regensburg, Bayern, Germany

    Stephan Grechenig

  4. Klinik fĂĽr Unfallchirurgie, Krankenhaus Barmherzige BrĂĽder, Regensburg, Bayern, Germany

    Bernd FĂĽchtmeier

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Staresinic, M., Bakota, B., Grechenig, S., Gänsslen, A. (2021). Prehospital Treatment of Suspected Pelvic Injuries. In: Gänsslen, A., Lindahl, J., Grechenig, S., Füchtmeier, B. (eds) Pelvic Ring Fractures. Springer, Cham. https://doi.org/10.1007/978-3-030-54730-1_5

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