Pelvic fractures are usually a result of high impact trauma and are often accompanied by a high ISS score. There is a correlation between a high ISS score and severe pelvic fractures and increased morbidity (Gross & Martel, 2010). Associated injuries for which the perianesthesia nurse should be vigilant include rectal, vaginal, bladder, urethral, spinal, or vascular injury (Giannoudis et al., 2007). Pelvic ring injuries with two or more fractures are mechanically unstable and may be stabilized surgically with external fixator and blood transfusion if hemodynamically unstable because of retroperitoneal bleeding. Angiogram and angio-embolization may be used to control bleeding (Giannoudis et al., 2007; Lunsjo et al., 2007). Additionally, abdominal compartment syndrome occurs in trauma patients (especially severe pelvic fractures) secondary to retroperitoneal bleeding (Lunsjo et al., 2007). Lastly, deep vein thrombosis (DVT) may occur in pelvic fracture patients with external fixators due to multiple risk factors (presence of multiple fractures of pelvis and lower extremities resulting in decreased blood flow from immobility or paralysis) (Pizanis et al., 2013). This increases the risk of pulmonary embolus, which usually occurs early in the hospitalization. Prophylaxis treatment for DVT, either mechanical (TED hose, SCD) or with medications (low molecular weight heparin), should be started post-op unless contraindications are present; if contraindications are present, a vena-cava filter may be placed (Pizanis et al., 2013).