Pelvic Trauma with Ash Vasireddy

In this conversation we will examine the prevalence, types, and
challenges of pelvic trauma. We will also look at some of the
pre-hospital and Emergency Department management of pelvic trauma
and why it can be such a critical injury to treat. To do this I
am speaking with Ash Vasireddy. Ash is a fellowship-trained
Orthopaedic Trauma Surgeon specialising in the management of
complex upper limb, lower limb, pelvic and acetabular fractures.
He works at King’s College Hospital (Major Trauma Centre) in
London. He completed further specialist Orthopaedic Trauma
training at The Royal London Hospital, as well as Orthopaedic
Trauma Fellowships at Queen’s Medical Centre in Nottingham and
King’s College Hospital in London. In addition, Ash has also
completed travelling fellowship visits to multiple major trauma
centres in America, including the Shock Trauma Centre in
Baltimore and Harborview Medical Centre in Seattle. Ash also has
extensive experience in Emergency Medicine, Intensive Care and
Anaesthesia. He is also a Consultant at Essex and Herts Air
Ambulance (EHAAT) and research lead for EHAAT. In the
conversation we examine:


Why a pelvic fracture is so critical

The pre-hospital prevalence

What are the main types / classifications

The spectrum of injury – pain to life threatening blood loss

Pre-hospital assessment of the pelvis 

Some of the common issues seen as an Orthopaedic Trauma
Surgeon

IR vs OR

Possibilities of REBOA within the Air Ambulance Service

Lessons learnt from practice (pre-hospital and in-hospital)

Seminal cases 

Final thoughts & take-home messages.



In the conversation Ash mentions the two common types of Pelvic
classification, these are:


TILE: https://litfl.com/classification-of-pelvic-fractures/


Young and Burgess classification of pelvic ring fractures:
https://radiopaedia.org/articles/young-and-burgess-classification-of-pelvic-ring-fractures?lang=gb





My thanks to Ash for an insightful and engaging interview.