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November 1957

Trauma to the Pelvis and Hip

Author Affiliations

U. S. Army

AMA Arch Surg. 1957;75(5):736-738. doi:10.1001/archsurg.1957.01280170046027

Most characteristic of major injury in this area is immediate, total disability. Weight-bearing cannot be tolerated, and the body weight must be distributed over a wide surface to diminish pain. The patient, therefore, remains where he has fallen. Displaced pelvic fractures produce immediate, steady bleeding into paramuscular and retroperitoneal spaces. In a few minutes 500-1000 cc. of blood is lost from the circulation. Rapid (careless or inexperienced), painful handling or a fast, swaying automobile or ambulance ride may easily precipitate combined traumatic and hemorrhagic shock. The patient can be moved supine in a

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