Preperitoneal packing for pelvic fracture-associated hemorrhage: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma

Nikolay Bugaev,Rishi Rattan,Michael Goodman,Kaushik Mukherjee,Bryce R.H. Robinson,Amy A. McDonald,James N. Bogert,Chasen A. Croft, Mathew Edavettal,Paul T. Engels,Vijay Jayaraman,Kosar Khwaja,George Kasotakis,Ryan A. Lawless,Rebecca G. Maine,Erik A. Hasenboehler,Mary E. Schroeder,Rebecca W. Schroll,Dennis Kim,Caleb Mentzer

The American Journal of Surgery（2020）

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摘要

•Availability of institutional resources dictate initial usage of PPP versus AE.•PPP should be used over resuscitation alone while waiting for pelvic angiography.•No recommendations for or against initial use of PPP versus initial pelvic external fixation can be made.•Post-PPP hemodynamic instability is an indication for post-PPP pelvic angiography.

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