Pelvic trauma used to be a significant cause of death, but advances in integrated, inclusive trauma care have resulted in a significant reduction in mortality.
A review into the introduction of a multi-disciplinary approach including: improved triage; early pelvic binder application; early administration of blood and blood products; adherence to algorithmic pathways; screening with focused sonography (FAST) and early operative intervention by specialist pelvic surgeons; saw a reduction in mortality from 20 per cent to 7.7 per cent. Patients now usually die as a result of concomitant injuries rather than isolated pelvic fractures.
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