Page 31 - Virtual Vascular Vol 15
P. 31
After chest drain insertion, an exploratory laparotomy was done and
haemostasis achieved.
The pelvic fracture was managed with a ‘three in one’ protocol; external
fixation (stops bleeding from bony surfaces), pelvic packing
(tamponades venous bleeding), and embolization (stops arterial
bleeding).
The post-op CXR above shows bilateral chest drains, right pulmonary
contusion, an endotracheal tube in situ, a left subclavian central line in
situ and gastric tube below diaphragm. Incidentally there is a also a
fracture on the right scapula.
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