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.