A patient with severe pelvic fracture always poses a challenge for the clinicians. As other life-threatening injuries often coexist in these patients, it becomes tricky for the doctors to manage these patients. This article tries to provide a  brief overview of such patients. Severe pelvic fracture and other pelvic injuries often occur in conjunction with other life­threatening injuries, and there is not universal agreement on all aspects of management of such patients.

However, several societies have put forth their recommendations in with this regard. From all these recommendations, it is clear that the mortality in patients with severe pelvic fractures ranges from 8 to 40% and is correlated more to the severity score of the injury, which reflects these associated injuries, rather than to the type of pelvic fracture. Directly associated injuries include: Bladder injury Urethral injury…