Adult pelvic injury

Question 1

When should a pelvic binder be used ?

Answer 1

• blunt trauma to the pelvis
• Or for all unconscious multi-trauma patients

Question 2

What are the contraindications of a pelvic splint

Answer 2

• Impaled object preventing application
• Isolated NoF

Question 3

What are some precautions of a pelvic splint

Answer 3

• Apply pelvic splint before CT6
• Ensure correct positioning over hreater trochanters
• Application of pelvic splint may cause significant pain

Question 4

Pathophysiology of a pelvic #

Answer 4

1. High energy mechanism causes disruption to the pelvic ring
2. This increases the pelvic volume
3. This can damage internal vasculature such as the illiac artery and its branches
4. This can lead to life threatening haemorrhage unless the pelvis ring can be stabilised