scholarly journals Binder use and early pelvic radiographs in the management of unstable patients with blunt trauma

2021 ◽  
Vol 193 (18) ◽  
pp. E649-E649
Author(s):  
Nori L. Bradley ◽  
Michael J. Kim ◽  
Matthew R. Menon
Keyword(s):  
Blunt Trauma ◽  
Pelvic Radiographs

Utility of Plain Film Pelvic Radiographs in Blunt Trauma Patients in the Emergency Department

2006 ◽  
Vol 72 (10) ◽  
pp. 951-954 ◽  
Author(s):  
Amal Kamil Obaid ◽  
Andrew Barleben ◽  
Diana Porral ◽  
Stephanie Lush ◽  
Marianne Cinat
Keyword(s):  
Emergency Department ◽  
Ct Scan ◽  
Blunt Trauma ◽  
Injury Severity ◽  
Plain Film ◽  
Pelvic Fractures ◽  
Trauma Patients ◽  
Pelvic Radiographs ◽  
Highly Sensitive ◽  
Pelvic Embolization

The objective of this study was to evaluate the utility and sensitivity of routine pelvic radiographs (PXR) in the initial evaluation of blunt trauma patients. A retrospective review was performed. One hundred seventy-four patients with a pelvic fracture who had computed tomography (CT) and PXR were included (average age, 36.1; average Injury Severity Score, 16.3). Nine (5%) patients died. Five hundred twenty-one fractures were identified on CT. One hundred sixteen (22%) of these fractures were missed by PXR. Eighty-eight (51%) patients were underdiagnosed by PXR alone. The most common fractures missed by PXR were sacral and iliac fractures. Eight patients required angiograms, with four undergoing therapeutic pelvic embolization. Forty-seven (27%) patients were hypotensive or required a transfusion in the emergency department. These patients were more likely to require an angiogram (17% vs 0%, P < 0.0001) and were more likely to require embolization (9% vs 0%, P < 0.001). This study demonstrates that CT scan is highly sensitive in identifying and classifying pelvic fractures. PXR has a sensitivity of only 78 per cent for identification of pelvic fractures in the acute trauma patient. In hemodynamically stable patients who are going to undergo diagnostic CT scan, PXR is of little value. The greatest use of PXR may be as a screening tool in hemodynamically unstable patients and/or those that require transfusion to allow for early notification of the interventional radiology team.

Are routine pelvic radiographs in major pediatric blunt trauma necessary?

2012 ◽  
Vol 42 (7) ◽  
pp. 853-858 ◽  
Author(s):  
Jyothi Lagisetty ◽  
Thomas Slovis ◽  
Ronald Thomas ◽  
Stephen Knazik ◽  
Curt Stankovic
Keyword(s):  
Blunt Trauma ◽  
Pelvic Radiographs

Implementation of a Cost-Saving Algorithm for Pelvic Radiographs in Blunt Trauma Patients

2011 ◽  
Vol 71 (3) ◽  
pp. 582-584 ◽  
Author(s):  
Andrew Barleben ◽  
Fariba Jafari ◽  
John Rose ◽  
Matthew Dolich ◽  
Darren Malinoski ◽  
...  
Keyword(s):  
Cost Saving ◽  
Blunt Trauma ◽  
Trauma Patients ◽  
Pelvic Radiographs ◽  
Saving Algorithm

Blunt Trauma and the Role of Routine Pelvic Radiographs: A Prospective Analysis

2002 ◽  
Vol 53 (3) ◽  
pp. 463-468 ◽  
Author(s):  
Ther??se M. Duane ◽  
Bethany B. Tan ◽  
David Golay ◽  
Frederic J. Cole ◽  
Leonard J. Weireter ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Prospective Analysis ◽  
Pelvic Radiographs

Implementation of an algorithm for pelvic radiographs in blunt trauma patients decreases costs without adverse outcomes

2008 ◽  
Vol 207 (3) ◽  
pp. S83 ◽  
Author(s):  
Andrew Barleben ◽  
Hubert Kim ◽  
Tuan Tran ◽  
Matthew Dolich ◽  
Darren Molinowski ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Adverse Outcomes ◽  
Trauma Patients ◽  
Pelvic Radiographs

311: Grade IV Renal Parynchemal Injury in Patients Following Blunt Trauma: Impact of Ureteral Stenting on Outcome

2006 ◽  
Vol 175 (4S) ◽  
pp. 103-103
Author(s):  
Zachary Q. Posey ◽  
John A. Weigelt ◽  
William A. See
Keyword(s):  
Blunt Trauma ◽  
Trauma Impact ◽  
Ureteral Stenting

Pseudoaneurysm of the brachial artey in two infants following accidental artertial puncture

VASA ◽  
2005 ◽  
Vol 34 (3) ◽  
pp. 198-200 ◽  
Author(s):  
Yilmaz ◽  
Dogan ◽  
Tok ◽  
Hazirolan ◽  
Guvener ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Vascular Access ◽  
Brachial Artery ◽  
Fibrous Tissue ◽  
Arterial Puncture ◽  
Artery Pseudoaneurysm

A pseudoaneurysm is defined as an aneurysmatic sac surrounded by fibrous tissue instead of other vascular layers such as the muscular one. It is a rare incident in infants especially in the brachial artery. Blunt trauma and vascular access attempts are the most common etiologic factors. We present two infants with brachial artery pseudoaneurysm in the antecubital region following accidental arterial puncture.

Dectection of pneumothoraces in patients with multiple blunt trauma: use and limits of eFAST

2016 ◽  
Vol 37 (S 01) ◽  
Author(s):  
T Sauter ◽  
S Hoess ◽  
B Lehmann ◽  
A Exadaktylos ◽  
D Haider
Keyword(s):  
Blunt Trauma
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