pelvic trauma

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Whether the clot was popped or not ( and that might be exactly what
happened), there was blood in the abdomen, there was a positive DPL, and
the patient was hypotensive.  If it were my call, I would go directly to
the OR, then to angio......

>>> KChason at aol.com 3/8/2005 6:33:24 PM >>>
Sheet was placed around pelvis after within first few minutes on
arrival,  
after initially exposed and examined we saw blood from the urethra.
 
Definitely could have "popped" the clot but we still manage trauma with
 
aggressive fluid resuscitation as a rule
 

FFP was ordered but I don't think it was given
 
Hypotension was 80's systolic.
 
ED interested  in patient going for definitive care after  positive DPL
but 
not sure if angio or OR should be first
 
Trauma surgery wanted aggressive IV fluids, blood, Ex fix and  
"stabilization" in the ED before angio and placing a-line for bp 
monitoring.  They also 
wanted to go to angio before the OR  with  positive DPL. 
 
 
I am not trying to be divisive, just demonstrating the different 
thought 
processes that were being discussed.  

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