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Edinburgh Orthopaedic Trauma Unit Major Pelvic Trauma Protocol Guidelines (Visit this link)
Grossly unstable pelvic fracture with haemodynamic instability. Transfer as soon as possible to theatre for external fixation and supra-umbilical DPL at the same time. If - DPL positive> Laparotomy If - DPL negative> Reassess haemodynamic status after application of external fixator Proceed to either---- If - DPL negative and patient>Stable perform CT Scan If - DPL negative and patient unstable> perform Angiography and pelvic embolisation
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Added: Sat Apr 20 2002
