Pelvic Traumas and Hybrid Emergency Medicine System: Literature Review Based on Two Cases

Authors : İlker Şirin, Yavuz Selim Benzer, Gülşen Çığşar, Bedriye Müge Sönmez

Pages : 127-130

Doi:10.38175/phnx.1474862

View : 33 | Download : 42

Publication Date : 2024-11-01

Article Type : Other Papers

Abstract :Objective: Bleeding, the most common life-threatening complication of pelvic trauma occurs due to injuries of pelvic arterial and venous structures and bone fractures. The outcomes of patients can be improved by a timely performed angioembolisation (AE). Hybrid Emergency Service System (HERS) has been recently introduced a novel approach which provides trauma resuscitation room equipped with computerized tomography, fluoroscopy, and an operating room, thus effects the outcomes of trauma patients. Cases: We presented two pelvic traumas and in both cases with the most common life-threatening complication was bleeding. In both cases, whole-body computed tomography (WBCT), endovascular procedures (Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), transcatheter arterial embolization (TAE)), and injury control surgery can be simultaneously performed without the need to transport a patient to an operating room which is called HERS resuscitation. Both patients were discharged and remained free of any medical problem at long-term (12 months) follow-up. Conclusion: Considering the recently introduced HERS system in patient management and integrating it into emergency services will be extremely useful in the management of trauma and trauma-induced bleeding.
Keywords : Pelvik travma, kanama, HERS