This article reviews the past and present data regarding the evaluatio
n and resuscitation of patients with concomitant pelvic fractures and
hemodynamic instability. The emphasis is that successful treatment req
uires a concerted and aggressive team approach from all disciplines. T
imely care has proven to be the single most important factor in patien
t survivorship. Recent advances such as emergency posterior frames wil
l allow simultaneous evaluation and resuscitation. A treatment algorit
hm is presented for emergency care.