Moore Retreat: Pelvic Fracture

Drive 1st pack deep into the pelvis
- hematoma opens the space up for you
- If laparotomy needed then try to keep fascial defect above the perperitoneal incision

Pelvic Fixator:
- C-clamp used as a pelvic fixator
- can be maneuvered for OR/CT

PPP should be a joint decision with orthopod

Angio:
- if ongoing bleeding pt may still need angio
- angio still needed in 10-12% of patients

Average dates to:
- pack removal: 3d
- ventilator days: 14d
- ICU LOS: 18d

mortality in refractory shock patients:
40-50% mortality without PPP
20-25% mortality with PPP