OTA-AAST
Combined Annual Meeting
Year 2000

Pelvic Injury
Symposium

PLENARY SESSION III

1:00 2:15 PM Thursday Afternoon
October 12, 2000
 

Recorder: 
Presenter: 
Steven R. Shackford, MD
Karim Brohi, FRCS

Presiding: 
Moderator: 
John H. Wilber, MD
James F. Kellam, MD

Panel: 
Michael J. Bosse, MD
Andrew R. Burgess, MD
Timothy Pohlemann, MD
Milton L. Routt, MD
Thomas Scalea, MD
Salvatore Sclafani, MD
Contributors: 
Wolfgang Ertel, MD
Eric R. Frykberg, MD
Kenneth D. Johnson, MD
Steven A. Olson, MD
Milton L. Routt, MD
Salvatore Sclafani, MD
Adam J. Starr, MD
Paul Tornetta III, MD
 
 
     
         


Dear Symposium Participant:

A discussion of the 1000+ member Trauma.Org mailing list has demonstrated that opinion with respect to the management of "Exsanguinating Pelvic Injuries" is all over the map. While this divergence of view is tolerable and possibly even amusing in the setting of an internet chat room, it is of serious concern when members of a trauma team start to suspect one another of limiting the chances for survival of a hemodynamically unstable pelvic fracture patient.

Different priorities, training perspectives, bad clinical experiences and poor clinical data most often undermine a collaboration for optimal patient care.

The Combined OTA-AAST Meeting, October 12-14, 2000, San Antonio, Texas provides an opportunity for an interdisciplinary address of this issue. A high level multidisciplinary panel will meet Thursday October 12 at 1 pm in order to work toward mutually agreeable diagnostic and management guidelines as applied to a discussion of clinical specifics.

From a number of submitted clinical cases, a composite case presentation has been developed to test and challenge a number of different published/accepted management algorithms.

Prior to the OTA-AAST 2000 meeting, this case presentation has been web published with a full complement of digitized images to afford maximum premeditation by conference participants of pertinent diagnostic and management issues.

Panelists have submitted typical algorithms and supporting abstracts for the preferred management of the hemodynamically unstable pelvic fracture patient. The pre-conference algorithms and abstracts are posted ahead of time along with any other explanatory notes, tables and references so as to be available and familiar to the other panelists and participants in the session.

At the OTA-AAST 2000 meeting, this interactive, computer-image assisted forum will work to reconcile differences and formulate a unified approach to the hemodynamically unstable pelvic fracture patient. The optimal outcome would be a consensus algorithm which could be carried back to the respective professional associations of general surgical traumatologists, orthopaedic traumatologists, interventional radiologists, anesthesiologists and urologists for ratification. It is hoped that such a document could eventually become the basis of a standard for patient management and trauma care provider education with respect to this perplexing injury.

Sincerely

Symposium Organizers