Evaluation of early emergency care process for severe pelvic fractures combined with multiple trauma
10.3760/cma.j.issn.1001-8050.2012.04.003
- VernacularTitle:严重骨盆骨折合并多发伤的早期急诊救治流程评估
- Author:
Jian LU
;
Yongbing QIAN
;
Feng XIA
;
Kanglong YU
;
Ruilan WANG
;
Yongmei CHE
- Publication Type:Journal Article
- Keywords:
Multiple trauma;
Emergency medical services;
Pelvis
- From:
Chinese Journal of Trauma
2012;28(4):296-300
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the early emergency management process for severe pelvic fractures combined with multiple trauma. Methods The study involved 113 patients with severe pelvic fractures combined with multiple trauma treated from January 2007 to May 2011.The patients were divided into two groups,ie,before trauma team establishment (26 patients treated from January 2007 to May 2008) and after trauma team establishment (87 patients treated from June 2008 to May 2011 ) in accordance with the establishment period of trauma team in June 2008.The mortality was compared before and after application of trauma-team-based algorithm with damage control resuscitation,external fixation and angiographic embolization.Variables including age and gender distribution,ISS score,injury type and mechanism,transportation time,associated injury number,initial systolic pressure hemoglobin and blood transfusion were analyzed for study of their relation with mortality. Results After trauma team establishment,the mortality (23％) was significantly lower than before trauma team establishment (46％).The mortality showed significant relation to ISSN score and over two regions of associated injury,but showed no correlation with age and gender distribution,injury type and mechanism,transportation time initial systolic pressure hemoglobin,and blood transfusion. Conclusion The application of trauma team is effective in treatment of severe pelvic fractures combined with multiple trauma and can decrease the mortality.
