The four least predictive second-tier, mechanism-related criteria added little sensitivity to the trauma team activation rule at the cost of substantially decreased specificity, and they should be modified or eliminated. The first-tier, mainly physiologic criteria were all useful in predicting the need for an immediate multidisciplinary response. If increased specificity of the first-tier criteria is desired, the first criterion to eliminate is "age > 65."

No abstract

Pelvic fractures are common and often devastating injuries. Along with a high mortality, the long-term morbidity is consequential for both the individual patient and society. A thorough knowledge of the clinical approach will assist the emergency physician in providing optimal care and offer a rapid and effective treatment plan for life threatening hemorrhage. Using a case-based scenario, the initial management strategies along with rationale evidence-based treatments are reviewed.