Initial ED management of major pelvic trauma as determined by examination or plain radiograph*

CT: computed tomography; DPA: diagnostic peritoneal aspirate; ED: emergency department; FAST: focused assessment with sonography in trauma; REBOA: resuscitative endovascular balloon occlusion of the aorta.

* This algorithm assumes the pelvis is the major site of trauma based on the initial clinical examination or plain radiographs performed in the ED.

¶ Interventions listed are in addition to standard initial resuscitation of any major trauma patient.