ICU · Trauma

Pelvic & Extremity Trauma, Compartment Syndrome & Fat Embolism

Also known as Pelvic fracture · Pelvic binder · Young-Burgess classification · Extremity trauma · Open fracture · Gustilo classification · Compartment syndrome · Fasciotomy · Fat embolism syndrome · FES · Angioembolisation pelvic · Preperitoneal pelvic packing · External fixation · Rhabdomyolysis trauma

The pelvic and extremity trauma in the ICU: the pelvic fracture (the Young–Burgess mechanism classification — the anteroposterior compression or open book, the lateral compression or closed book, the vertical shear; each with a different bleeding pattern and stability), the pelvic binder (for the open book — applied at the greater trochanters, it reduces the pelvic volume and helps tamponade the venous bleeding), the angiographic embolisation for the persistent arterial bleeding (after the binder + the packing), the preperitoneal packing, the external fixation, the associated injuries (the bladder, the urethra, the rectal, the vaginal, the sacral plexus the neurological), the extremity trauma (the open fracture — the Gustilo I/II/IIIA/IIIB/IIIC; the vascular, the nerve), the compartment syndrome (the 6 Ps — the pain disproportionate, the pressure, the paresthesia, the paralysis, the pulseless [late], the poikilothermia; the delta P under 30; the fasciotomy within 6 hours), and the fat embolism syndrome (the 24 to 72 hours post-fracture; the triad — the respiratory, the CNS, the petechial rash; the lung-protective ventilation, the supportive). The rhabdomyolysis (the crush injury — the CK, the myoglobin, the AKI; the aggressive hydration).