Fig. 3

Pelvic Trauma management algorithm (*: patients hemodynamically stable and mechanically unstable with no other lesions requiring treatment and with a negative CT-scan, can proceed directly to definitive mechanical stabilization. MTP: Massive Transfusion Protocol, FAST-E: Eco-FAST Extended, ED: Emergency Department, CT: Computed Tomography, NOM: Non Operative Management, HEMODYNAMIC STABILITY is the condition in which the patient achieve a constant or an amelioration of blood pressure after fluids with a blood pressure >90 mmHg and heart rate <100 bpm; HEMODYNAMIC INSTABILITY is the condition in which the patient has an admission systolic blood pressure <90 mmHg, or > 90 mmHg but requiring bolus infusions/transfusions and/or vasopressor drugs, or admission base deficit (BD) >6 mmol/l, or shock index > 1, or transfusion requirement of at least 4–6 Units of packed red blood cells within the first 24 h)