Chest Xray - Left hemopneumothorax. Lt Chest tube placed. AP pelvic Xray obtained. Org A sheet was immediately wrapped around the pelvis in the emergency room. The patient has received 3L crystalloid, the 4 units of PRBC's and 4 units of FFP .
Abdominal ultrasound shows hypoechoic stripe in the hepatorenal space.
Application time was 35 minutes. It appears that pelvic external fixation does not significantly tamponade retroperitoneal hemorrhage, does not significantly reduce intrapelvic volume , and frequently increases posterior pelvic displacement - in the vicinity of major sources of venous and arterial hemorrhage. At laparotomy - an extensive liver laceration is found and is controlled with packing. A large pelvic retroperitoneal haematoma is present. Pohlemann and Ertel recommend extraperitoneal packing.