gr8doc wrote:
Look for any open active bleeding sites, rule out long bone fractures and finally check for # Pelvis. Don't rush to open. Things which are not picked up on the USG and DPL, will not be seen either at the exploratory lap.
Hope this helps.
Agree... Hypotension in patient negative after USG and DPL may be due to neurogenic shock
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| dermatology
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thanx gr8doc and justice.....
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| MAGY17
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may be pelvis bleeding
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| DrVirgo
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MAGY17 wrote:
may be pelvis bleeding
I agree. Replace blood and fluids first.
DPL and U/S don't often show a bleed in the pelvis.
Look for pelvic hematoma, pelvic fracture- if fractured -external fixation.
Surgery is usually not done for pelvic bleeds because often the bleeding site is inaccessible and you could lose the tamponade effect.
For arterial bleeding in pelvis -embolization.
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| darkhorse
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if there are signs pointing to abdomen...you have excluded other sources....patient unstable inspite of resuscitation...next step is exploratory laparotomy
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