EMST

Acute management

EMST / ATLS PrinciplesPelvic Fracture APC

 

Usually polytrauma

- 10% mortality

 

Aims

1. Volume replacement

2. Reduce pelvic ring

3. Stop exsanguination

- external stabilisation / surgery / embolisation

 

Associated Local Injuries

 

Arterial bleeders

EMST / ATLS

Background

 

Trauma is 3rd most common cause death in all age groups

- number one in young adults < 44 years


Death

 

Death occurs in 3 time periods

 

1.  First few minutes

- death secondary aortic rupture or severe head injury

- 50% die in this period

- only a few survive 

- only if rapid transport 

 

2. Golden Hour