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Table 2 WSES pelvic injuries classification (*: 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. LC: Lateral Compression, APC: Antero-posterior Compression, VS: Vertical Shear, CM: Combined Mechanism, NOM: Non-Operative Management, OM: Operative Management, REBOA: Resuscitative Endo-Aortic Balloon)

From: Pelvic trauma: WSES classification and guidelines

  WSES grade Young-Burgees classification Haemodynamic Mechanic CT-scan First-line Treatment
MINOR WSES grade I APC I – LC I Stable Stable Yes NOM
MODERATE WSES grade II LC II/III -
APC II/III
Stable Unstable Yes Pelvic Binder in the field
± Angioembolization (if blush at CT-scan)
OM – Anterior External Fixation *
WSES grade III VS - CM Stable Unstable Yes Pelvic Binder in the field
± Angioembolization (if blush at CT-scan)
OM - C-Clamp *
SEVERE WSES grade IV Any Unstable Any No Pelvic Binder in the field
Preperitoneal Pelvic Packing
± Mechanical fixation (see over)
± REBOA
± Angioembolization