Predictors of Bramos for Significant Bleeding in a Trauma Patient with a Stable Pelvic Fracture

 

Significant bleeding was defined as one or both of the following:

(1) a need for blood transfusion

(2) intervention to control bleeding within the first 24 hours after hospital admission

 

A stable pelvic fracture does not require operative fixation and is usually associated with a low risk of significant bleeding. Bleeding from the pelvic fracture should be suspected when there is evidence of internal hemrrhage that cannot otherwise be explained.

 

Predictors of significant bleeding in a patient with a stable pelvic fracture:

(1) admission hematocrit <= 30%

(2) pelvic hematoma present on imaging studies

(3) admission systolic blood pressuer <= 90 mm Hg

 

A patient with a stable pelvic fracture, evidence of bleeding and one or more predictors should be monitored more closely and treated more aggressively.