To pack or plug: American Association for the Surgery of Trauma multicenter evaluation of hemorrhage control interventions in pelvic fracture management

The Journal of Trauma: Injury, Infection, and Critical Care 2026

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Authors: Melike Harfouche, Leslie Sult, Jason D. Sciarretta, S. Rob Todd, Christopher O'Neil, Jonathan P. Meizoso, Allison McNickle, Douglas Fraser, Millicent Croman, Joseph J. DuBose
DOI: 10.1097/ta.0000000000004856
Cited by: 2
References: 18

Abstract

INTRODUCTION: Mortality from pelvic ring fractures (PRFs) complicated by hemorrhagic shock remains high, and there are limited high-quality data to guide care. We compared two primary hemorrhage control interventions: pelvic angiography +/- embolization (PAE) and preperitoneal pelvic packing (PPP), hypothesizing similar odds of death. METHODS: A prospective, multicenter, observational study was conducted for individuals with blunt trauma-associated PRF with a systolic blood pressure of

Fields of Study & Subjects

Pelvic and Acetabular Injuries Hip and Femur Fractures Spinal Fractures and Fixation Techniques

Publication details

Journal / source
The Journal of Trauma: Injury, Infection, and Critical Care
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
100
Issue
3
Pages
398–404
Publication date
12 January 2026
Language
EN