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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2005, Number 1

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An Med Asoc Med Hosp ABC 2005; 50 (1)

Hypovolemic shock and pelvic fractures. Use of external fixation in primary reanimation

Parrado TA, Saavedra AL, Hernández J, Hiromoto M, Delgadillo S,Bello A

Language: Spanish
References: 13
Page: 10-14
PDF size: 79.38 Kb.


ABSTRACT

Objective: To identify the frequency, mortality, integral management of pelvic fractures and hypovolemic shock in reanimation area. Setting: Cruz Roja Mexicana hospital Central. Polanco. Patients and methods: We analyzed the incidence, mortality and integral management of the patients with hypovolemic shock and pelvic fractures, between January 2002 and January 2004, admitted to our service. Results: We admitted 139 patients, 51 (37%) were classified type B and C of Tile; hypovolemic shock grade was identified in every patient and according reanimation algorithms; external fixation was performed with AO/ASIF material, to patient within B y C of Tile classification; 20 (49%) patients were stabilized in reanimation area and 31 (61%) entered surgery by associated lesions. General mortality was 33.3% (n = 17). Conclusion: Hypovolemic shock and external fixation in traumatism with pelvic fracture must be an integral management, and be part of reanimation primary algorithm.


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