Management of hemodynamically unstable pelvic trauma: results of the first Italian consensus conference (cooperative guidelines of the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care, the Italian Society of Orthopaedics and Traumatology, the Italian Society of Emergency Medicine, the Italian Society of Medical Radiology -Section of Vascular and Interventional Radiology- and the World Society of Emergency Surgery)
نویسندگان
چکیده
Hemodynamically Unstable Pelvic Trauma is a major problem in blunt traumatic injury. No cosensus has been reached in literature on the optimal treatment of this condition. We present the results of the First Italian Consensus Conference on Pelvic Trauma which took place in Bergamo on April 13 2013. An extensive review of the literature has been undertaken by the Organizing Committee (OC) and forwarded to the Scientific Committee (SC) and the Panel (JP). Members of them were appointed by surgery, critical care, radiology, emergency medicine and orthopedics Italian and International societies: the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care, the Italian Society of Orthopaedics and Traumatology, the Italian Society of Emergency Medicine, the Italian Society of Medical Radiology, Section of Vascular and Interventional Radiology and the World Society of Emergency Surgery. From November 2012 to January 2013 the SC undertook the critical revision and prepared the presentation to the audience and the Panel on the day of the Conference. Then 3 recommendations were presented according to the 3 submitted questions. The Panel voted the recommendations after discussion and amendments with the audience. Later on a email debate took place until December 2013 to reach a unanimous consent. We present results on the 3 following questions: which hemodynamically unstable patient needs an extraperitoneal pelvic packing? Which hemodynamically unstable patient needs an external fixation? Which hemodynamically unstable patient needs emergent angiography? No longer angiography is considered the first therapeutic maneuver in such a patient. Preperitoneal pelvic packing and external fixation, preceded by pelvic binder have a pivotal role in the management of these patients.Hemodynamically Unstable Pelvic Trauma is a frequent death cause among people who sustain blunt trauma. We present the results of the First Italian Consensus Conference.
منابع مشابه
Italian Political Communication and Gender Bias: Press Representations of Men/Women Presidents of the Houses of Parliament (1979, 1994, and 2013)
The study considers mass media communication as intertwined with social norms, as assumed by the perspective of social representations. It explores the Italian press communication by focusing on three pairs of men and women politicians with different political orientations and all serving as presidents of the Houses of Parliament in three legislatures. The article concentrates on five newspaper...
متن کاملInterregional Patient Mobility in the Italian NHS: A Case of Badly-Managed Decentralization; Comment on “Regional Incentives and Patient Cross-Border Mobility: Evidence From the Italian Experience”
The article by Brenna and Spandonaro on interregional mobility for acute hospital care in Italy raises important issues concerning social and territorial equity in a healthcare system. Based on Regions and private providers’ strategic behavior, the hypothesis adopted to explain patient cross-border mobility (CBM), demonstrated by statistical analysis, may be further explored using qualitative m...
متن کاملSigned total Italian k-domination in graphs
Let k ≥ 1 be an integer, and let G be a finite and simple graph with vertex set V (G). A signed total Italian k-dominating function (STIkDF) on a graph G is a functionf : V (G) → {−1, 1, 2} satisfying the conditions that $sum_{xin N(v)}f(x)ge k$ for each vertex v ∈ V (G), where N(v) is the neighborhood of $v$, and each vertex u with f(u)=-1 is adjacent to a vertex v with f(v)=2 or to two vertic...
متن کاملThe Italian domatic number of a digraph
An {em Italian dominating function} on a digraph $D$ with vertex set $V(D)$ is defined as a function$fcolon V(D)to {0, 1, 2}$ such that every vertex $vin V(D)$ with $f(v)=0$ has at least two in-neighborsassigned 1 under $f$ or one in-neighbor $w$ with $f(w)=2$. A set ${f_1,f_2,ldots,f_d}$ of distinctItalian dominating functions on $D$ with the property that $sum_{i=1}^d f_i(v)le 2$ for each $vi...
متن کاملThe Interlanguage of Persian Learners of Italian: a Focus on Complex Predicates
This paper aims at investigating the acquisition of Italian complex predicates by native speakers of Persian. Complex predication is not as pervasive a phenomenon in Italian as it is in Persian. Yet Italian native speakers use complex predicates productively; spontaneous data show that Persian learners of Italian seem to be perfectly aware of Italian complex predicates and use this familiar fea...
متن کامل