Quick reference algorithm
Hemodynamically significant pelvic fractures · March 2026 edition
Hemorrhage control
Pelvic binder applied if any of:
Persistent hemodynamic instability
Activate MTP FAST exam
FAST positive (+)
FAST negative (−)
End of non-responder arm
Initial response then re-deterioration
High index of suspicion
Consider REBOA as temporizing measure
Temporizing bridge to definitive hemorrhage control
Max inflation time: 60–90 min
End of transient-responder arm
SBP > 90 after resuscitation
Hemodynamically stable
From CT angiography · responder pathway
