What is the major concern related to pelvic injury?

The major concern related to pelvic injury is the potential for significant loss of blood volume. Pelvic fractures can disrupt large blood vessels and veins in the region, leading to heavy internal bleeding. The pelvis houses major vascular structures, including the internal iliac arteries and veins; damage to these can lead to hematomas and severe hemorrhage. This blood loss can rapidly result in hypovolemic shock, affecting the patient's blood pressure, heart function, and overall perfusion of vital organs.

In cases of pelvic injury, it’s vital to monitor for signs of hemorrhagic shock and to manage fluid resuscitation and any necessary surgical interventions to control bleeding. Recognizing this risk early can be critical in improving outcomes for patients with such injuries, making the concern of blood volume loss a priority in the care plan.