Source of bleeding in trauma patients with pelvic fracture and haemodynamic instability.

Introduction: The main cause of mortality in trauma patients with pelvic fractures is hypovolemic shock. We analyzed the association between the source of bleeding, mechanism of action and type of fracture.

Methods: Prospective descriptive study involving trauma patients older than 16 years old, admitted to the intensive care unit or dead before admission, with pelvic fractures and hemodynamic instability.

[A prospective study on the incidence of missed injuries in trauma patients].

Introduction: Missed injuries in trauma patients are injuries not identified during a primary and secondary trauma survey (Advanced Trauma Life Support, ATLS). These injuries are important because of the delay in correct treatment. There is a particularly important sub-group consisting of clinically significant missed injuries, which may cause serious complications in the patient or even death.

[Intraabdominal hypertension and decompressive surgery. Clinical experience].

Introduction: Increased intraabdominal pressure (IAP) is associated with higher complication and mortality rates. Decompressive surgery is the most effective treatment for abdominal hypertension in trauma and septic patients with IAP.

Objective: To establish the association between IAP, complications, and mortality and to evaluate morbidity and mortality after decompressive surgery.