Table 4 Defining Hemodynamic Instability for Patients with Pelvic Fractures
Survey Question | Responses | % (n) | n |
|---|---|---|---|
What measures are used to define hemodynamic instability for pelvic fractures? | SBP | 25% (9) | 36 |
SBP and HR | 25% (9) | ||
SBP, HR, and Lactate | 14% (5) | ||
SBP, HR, and Other | 3% (1) | ||
SBP, HR, Lactate, and INR | 17% (6) | ||
SBP, HR, Lactate, and Other | 11% (4) | ||
SBP, HR, Lactate, INR, and Other | 6% (2) | ||
What measures are used to define a hemodynamic instability for pelvic fractures? | SBP | 100% (36) | 36 |
HR | 75% (27) | ||
Lactate | 47% (17) | ||
INR | 22% (8) | ||
Other | 19% (7) | ||
What “other” methods are used to define hemodynamic instability in pelvic fractures? | Base deficit | 29% (2) | 7 |
ROTEM or TEG | 29% (2) | ||
Radiology | 14% (1) | ||
Requiring Transfusion | 14% (1) | ||
Diastasis at Pubic Symphysis | 14% (1) | ||
How do you define measures of hemodynamic instability for pelvic fractures? Most common response (n) | SBP | < 90 (20) | 36 |
Heart Rate | > 100 (10), > 120 (10) | 27 | |
Lactate | > 2 (7) | 17 | |
INR | > 1.5 (3) | 8 | |
How do you define measures of hemodynamic instability for pelvic fractures? Range of responses. | SBP | < 80 - ≤ 100 | 27 |
Heart Rate | < 60–125 | 36 | |
Lactate | > 2–10 | 17 | |
INR | > 1.1 - > 2.5 | 8 | |
How are “other” measures of hemodynamic instability for pelvic fractures defined? | Base deficit | −5, 6 | 7 |
ROTEM or TEG | Not defined | ||
Radiology | Not defined | ||
Requiring Transfusion Diastasis at Pubic Symphysis | Not defined > 2.5 cm |