Variability in pelvic packing practices for hemodynamically unstable pelvic fractures at US level 1 trauma centers

Table 6 Sequence of treatment methods in published guidelines for hemodynamically unstable patients

	WSES	TQIP FAST +	TQIP Fast -	TQIP Extremis^a	WTA Fast -	WTA FAST +	EAST	ATLS
First	PP	CCD	CCD	REBOA	CCD	CCD	CCD	CCD
Second	CCD, REBOA, and / or Angio	Ex-Lap	Ex-Fix	PP	Ex-Fix, REBOA, or PP	Ex-Lap & Ex-Fix	Angio	Ex-Lap or Angio
Third	Ex-Lap	Consider Ex-fix	PP	Ex-Lap	PP or Angio	PP	PP	Ex-Fix
Fourth	Re-angio		Angio	Ex-Fix	Angio	Angio
Fifth	Ex-Fix			Angio

WSES World Society of Emergency Surgeons, TQIP Trauma Quality Improvement Program, FAST Focused assessment with sonography, WTA Western Trauma Association, EAST Eastern Association for Surgery and Trauma, ATLS Advanced trauma life support, PP Pelvic Packing, CCD Circumferential compression device, REBOA Resuscitative endovascular balloon occlusion of the aorta, Ex-Lap Exploratory Laparotomy, Ex-Fix External fixation device, Angio Angiography with embolization if indicated. ^aIn extremis solely from pelvic bleeding

ISSN: 1754-9493