{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:10:37Z","timestamp":1780963837148,"version":"3.54.1"},"reference-count":37,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2009,9]]},"DOI":"10.1016\/j.ajem.2008.06.014","type":"journal-article","created":{"date-parts":[[2009,8,14]],"date-time":"2009-08-14T05:45:00Z","timestamp":1250228700000},"page":"792-796","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Evaluation of pelvic fracture stability and the need for angioembolization: pelvic instabilities on plain film have an increased probability of requiring angioembolization"],"prefix":"10.1016","volume":"27","author":[{"given":"Chih-Yuan","family":"Fu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih-Chi","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray-Jade","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Chun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping-Kuei","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Chieh","family":"Yeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung-Chang","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajem.2008.06.014_bib1","first-page":"356","article-title":"Mortality associated with pelvic fractures","volume":"84","author":"Rothenberger","year":"1978","journal-title":"Surgery"},{"key":"10.1016\/j.ajem.2008.06.014_bib2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/00003086-198009000-00005","article-title":"Pelvic disruptions in the polytraumatized patient: a management protocol","volume":"151","author":"McMurtry","year":"1980","journal-title":"Clin Orthop"},{"key":"10.1016\/j.ajem.2008.06.014_bib3","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1097\/00005373-198807000-00011","article-title":"Pelvic fracture classification: correlation with hemorrhage","volume":"28","author":"Cryer","year":"1988","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib4","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1097\/00005373-199405000-00019","article-title":"The acute management of hemodynamically unstable multiple trauma patients with pelvic ring fractures","volume":"36","author":"Gruen","year":"1994","journal-title":"J Trauma."},{"key":"10.1016\/j.ajem.2008.06.014_bib5","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1001\/archsurg.1989.01410040032006","article-title":"Pelvic fracture hemorrhage","volume":"124","author":"Evers","year":"1989","journal-title":"Arch Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib6","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1097\/00005373-199007000-00015","article-title":"Pelvic ring disruptions: effective classification system and treatment protocols","volume":"30","author":"Burgess","year":"1990","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib7","series-title":"Advanced Trauma Life Support","author":"Committee on Trauma","year":"2004"},{"key":"10.1016\/j.ajem.2008.06.014_bib8","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/S0033-8389(22)02172-8","article-title":"Diagnostic imaging of pelvic and chest wall trauma","volume":"27","author":"Heare","year":"1989","journal-title":"Radiol Clin North Am"},{"key":"10.1016\/j.ajem.2008.06.014_bib9","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/S0030-5898(20)30454-5","article-title":"CT in pelvic trauma","volume":"16","author":"Dalinka","year":"1985","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.ajem.2008.06.014_bib10","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1001\/archsurg.138.5.504","article-title":"Assessment of volume of hemorrhage and outcome from pelvic fracture","volume":"138","author":"Blackmore","year":"2003","journal-title":"Arch Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib11","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1148\/radiology.160.2.3726125","article-title":"Pelvic fractures: value of plain radiography in early assessment and management","volume":"160","author":"Young","year":"1986","journal-title":"Radiology"},{"key":"10.1016\/j.ajem.2008.06.014_bib12","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/00000658-199006000-00008","article-title":"Definitive control of mortality from severe pelvic fracture","volume":"211","author":"Flint","year":"1990","journal-title":"Ann Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib13","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1111\/j.1445-2197.2004.03074.x","article-title":"Guidelines for the management of haemodynamically unstable pelvic fracture patients","volume":"74","author":"Heetveld","year":"2004","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib14","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1097\/01.TA.0000163435.39881.26","article-title":"Early embolization and vasopressor administration for management of life-threatening hemorrhage from pelvic fracture","volume":"58","author":"Fangio","year":"2005","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib15","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1097\/01.TA.0000158251.40760.B2","article-title":"Institutional practice guidelines on management of pelvic fracture-related hemodynamic instability: do they make a difference?","volume":"58","author":"Balogh","year":"2005","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib16","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1097\/01.TA.0000053397.33827.DD","article-title":"External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage","volume":"54","author":"Miller","year":"2003","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib17","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/00005373-200209000-00009","article-title":"The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions","volume":"53","author":"Eastridge","year":"2002","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib18","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1097\/01.TA.0000171985.33322.b4","article-title":"Pelvic fracture pattern does not always predict the need for urgent embolization","volume":"58","author":"Sarin","year":"2005","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib19","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1093\/ptj\/85.3.257","article-title":"The kappa statistic in reliability studies: use, interpretation, and sample size requirements","volume":"85","author":"Julius","year":"2005","journal-title":"Phys Ther"},{"key":"10.1016\/j.ajem.2008.06.014_bib20","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/S0039-6109(16)44584-6","article-title":"Hemorrhage in major pelvic fractures","volume":"68","author":"Mucha","year":"1988","journal-title":"Surg Clin North Am"},{"key":"10.1016\/j.ajem.2008.06.014_bib21","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1097\/00000658-200106000-00015","article-title":"Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fracture","volume":"233","author":"Biffl","year":"2001","journal-title":"Ann Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib22","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/0002-9610(85)90416-7","article-title":"Immediate external fixation of unstable pelvic fractures","volume":"150","author":"Gylling","year":"1985","journal-title":"Am J Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib23","first-page":"1021","article-title":"Percutaneous transcatheter embolization for massive bleeding pelvic fractures","volume":"25","author":"Panetta","year":"1985","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib24","first-page":"843","article-title":"Extraperitoneal pelvic packing: a salvage procedure to control massive traumatic pelvic hemorrhage","volume":"62","author":"Totterman","year":"2007","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib25","first-page":"834","article-title":"Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift","volume":"62","author":"Cothren","year":"2007","journal-title":"J\u00a0Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib26","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/00005131-200109000-00002","article-title":"Control of severe hemorrhage using C-clamp and pelvic packing in multiply injured patients with pelvic ring disruption","volume":"15","author":"Wolfgang","year":"2001","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib27","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1097\/00005373-199709000-00001","article-title":"Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage","volume":"43","author":"Agolini","year":"1997","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib28","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1177\/000313480006600808","article-title":"Management guidelines for hypotensive pelvic fracture patients","volume":"66","author":"Allen","year":"2000","journal-title":"Am Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib29","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1056\/NEJM197208172870701","article-title":"Arteriography in the management of hemorrhage from pelvic fractures","volume":"287","author":"Margolies","year":"1972","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajem.2008.06.014_bib30","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1097\/00003086-198309000-00031","article-title":"The impact of CT in clinical management of pelvic and acetabular fractures","volume":"178","author":"Rafii","year":"1983","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.ajem.2008.06.014_bib31","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1097\/TA.0b013e3180479827","article-title":"Significance of contrast extravasation in patients with pelvic fracture","volume":"62","author":"Brasel","year":"2007","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2008.06.014_bib32","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1067\/msy.2000.108219","article-title":"Dynamic helical computed tomography scan accurately detects hemorrhage in patients with pelvic fracture","volume":"128","author":"Pereira","year":"2000","journal-title":"Surgery"},{"key":"10.1016\/j.ajem.2008.06.014_bib33","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1148\/rg.246045028","article-title":"Pelvic arterial hemorrhage in patients with pelvic fractures: detection with contrast-enhanced CT","volume":"24","author":"Yoon","year":"2004","journal-title":"Radiographics"},{"key":"10.1016\/j.ajem.2008.06.014_bib34","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1177\/000313480607201025","article-title":"Utility of plain film pelvic radiographs in blunt trauma patients in the emergency department","volume":"72","author":"Obaid","year":"2006","journal-title":"Am Surg"},{"key":"10.1016\/j.ajem.2008.06.014_bib35","first-page":"823","article-title":"Management of severe bleeding in fractures of the pelvis","volume":"153","author":"Brotman","year":"1981","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.ajem.2008.06.014_bib36","first-page":"272","article-title":"Implications of the contrast blush finding on computed tomographic scan of the spleen in trauma","volume":"51","author":"Omert","year":"2001","journal-title":"J\u00a0Trauma."},{"key":"10.1016\/j.ajem.2008.06.014_bib37","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1097\/01.ta.0000196571.12389.ee","article-title":"The CT risk factors for the need of operative treatment in initially hemodynamically stable patients after blunt hepatic trauma","volume":"61","author":"Fang","year":"2006","journal-title":"J Trauma"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675708004713?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675708004713?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:11:50Z","timestamp":1760022710000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675708004713"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9]]},"references-count":37,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["S0735675708004713"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2008.06.014","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2009,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluation of pelvic fracture stability and the need for angioembolization: pelvic instabilities on plain film have an increased probability of requiring angioembolization","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2008.06.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2009 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}