Management of Hemodynamically Unstable Pelvic Ring Injuries

Pelvic ring injuries presenting with haemodynamic compromise mean major challenge to the trauma system. In modern, developed trauma centres pelvic fracture associated bleeding still a frequent cause of potentially preventable exsanguination related deaths. These patients ideally require rapid prehospital care with temporary non-invasive pelvic stabilisation and transfer to the nearest trauma centre frequently with ongoing resuscitation even with blood products. While most authors agree with the principles of in-hospital care (rapid haemorrhage and simultaneous haemostatic resuscitation) the intricacies of this management are frequently debated based on training background, local resources/logistics, personal preferences and shift in treatment trends without obvious high level of evidence.

This Research Topic aims to summarise our current knowledge, modern therapeutic options and future directions of these highly morbid and mortal injuries typically requiring significant multidisciplinary resources for their optimal management. Due to the multidisciplinary nature of management, the Topic Editors would like to invite submissions from Intensive care specialists, anaesthetists, rehabilitationists and other interested parties in addition to orthopaedic surgeons and Traumatologists.

The Topic Editors welcome submissions of all article types, including Original Research, Reviews and Perspectives.