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. 2018 Jun 30;5(1):21.
doi: 10.1186/s40779-018-0168-3.

Chinese expert consensus on echelons treatment of pelvic fractures in modern war

Zhao-Wen Zong  1 , Si-Xu Chen  2 , Hao Qin  2 , Hua-Ping Liang  3 , Lei Yang  2 , Yu-Feng Zhao  4 ; Representing the Youth Committee on Traumatology branch of the Chinese Medical Association, the PLA Professional Committee and Youth Committee on Disaster Medicine, the Traumatology branch of the China Medical Rescue Association. and the Disaster Medicine branch of the Chongqing Association of Integrative Medicine
Collaborators, Affiliations

Chinese expert consensus on echelons treatment of pelvic fractures in modern war

Zhao-Wen Zong et al. Mil Med Res. .

Abstract

The characteristics and treatment of pelvic fractures vary between general conditions and modern war. An expert consensus has been reached based on pelvic injury epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. According to this consensus, first aid, emergency treatment and early treatment of pelvic fractures are introduced in three separate levels. In Level I facilities, simple triage and rapid treatment following the principles of advanced trauma life support are recommended to evaluate combat casualties during the first-aid stage. Re-evaluation, further immobilization and fixation, and hemostasis are recommended at Level II facilities. At Level III facilities, the main components of damage control surgery are recommended, including comprehensive hemostasis, a proper resuscitation strategy, the treatment of concurrent visceral and blood vessel damage, and battlefield intensive care. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

Keywords: Classification and treatment; Combat injuries; Expert consensus; Pelvic fractures.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Treatment procedures for pelvic fractures in modern war. The treatment process is designed based on the current treatment level and the equipment in each of the medical units of the PLA. It will be changed accordingly with their development. ATLS. Advanced trauma life support
See this image and copyright information in PMC

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References

    1. Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, et al. Oxford centre for evidence-based medicine 2011 levels of evidence. OCEBM Levels Evid Work Gr. 2011. Available at: http://www.cebm.net/wp-content/uploads/2014/06/CEBM-Levels-of-Evidence-2..., Accessed 22 Oct 2017.
    1. Ketola E, Kaila M, Honkanen M. Guidelines in context of evidence. Qual Saf Health Care. 2007;16(4):308–312. doi: 10.1136/qshc.2006.019752. - DOI - PMC - PubMed
    1. Camanho GL. Level of evidence. Rev Bras Ortop. 2009;44(6):IFC1–IFC2. doi: 10.1590/S0102-36162009000600001. - DOI - PMC - PubMed
    1. Zong ZW, Zhang LY, Qin H, Chen SX, Zhang L, Yang L, et al. Expert consensus on the evaluation and diagnosis of combat injuries of the Chinese People’s liberation Army. Mil Med Res. 2018;5(1):6. doi: 10.1186/s40779-018-0152-y. - DOI - PMC - PubMed
    1. Davis JM, Stinner DJ, Bailey JR, Aden JK, Hsu JR. Skeletal trauma research consortium. Factors associated with mortality in combat-related pelvic fractures. J Am Acad Orthop Surg. 2012;20:S7–S12. doi: 10.5435/JAAOS-20-08-S7. - DOI - PubMed

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