What is the most appropriate management for a patient after a motor vehicle accident (MVA) who presents to the emergency room (ER) with a pelvic fracture, a large hematoma, and evidence of active bleeding, along with severe hypotension?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 4, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the most appropriate management for a patient after a motor vehicle accident (MVA) who presents to the emergency room (ER) with a pelvic fracture, a large hematoma, and evidence of active bleeding, along with severe hypotension?

What is the most appropriate next step in managing a patient with hypotension despite intravenous (IV) fluids and an open-book pelvic fracture after high-velocity trauma?

What is the next step in managing a patient with a pelvic fracture and hypotension (blood pressure 88/55)?

What is the next appropriate management step for a medium-aged patient presenting with pelvic injury after a motor vehicle accident (MVA), with computed tomography (CT) showing multiple pelvic injuries and severe hematoma, and hypotension?

What is the most appropriate management for a patient presenting to the emergency room (ER) with a pelvic fracture, active bleeding, a large hematoma, and hypotension, with a blood pressure (BP) of 80/50?

What is the treatment for a 17-month-old child experiencing vomiting?

What is the management approach for a patient with elevated baseline hydrogen breath test results, indicating potential small intestine bacterial overgrowth (SIBO) or other gastrointestinal conditions, who cannot proceed with testing?

What is the recommended treatment approach for a patient with type 2 diabetes using Trulicity (dulaglutide)?

What is the management approach for a patient with syncope, bradycardia, and an EKG showing early repolarization and sinus rhythm?

Is it normal to experience muscle and joint pain in the shoulders and arms after an elliptical workout, given my history of daily walking and elliptical or bike exercise for over 20 years without previous incidents of pain, and having recently undergone a bone infusion?

What are the options for arterial scans in a patient with hyperlipidemia, specifically elevated Low-Density Lipoprotein (LDL) and total cholesterol levels?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.