Pelvic Management

Question 1

What are the possible complications of pelvic injuries?

Answer 1

Shock
Sepsis
Soft tissue injuries
Urinary system damage
Musculskeletal damage

Question 2

What are the 4 main points of stabilising pelvis?

Answer 2

-Prevent re injury from pelvic motion
-Decrease pelvic volume
-Stop bleeding pelvic bones and vessels
-Decrease pain

Question 3

When in primary survey do you do pelvic splint?

Answer 3

(C) - Do here
A
B
C
D
E

Question 4

How much blood can the pelvic space hold?

Answer 4

The patients entire blood volume

Question 5

How much does the stable uninjured pelvis hold?

Answer 5

About 1.5 litres

Question 6

Are pelvic bleeds venous or arterial?

Answer 6

Venous - 90% of bleeding from pelvic fractures

Arterial - 10% of all bleeding from pelvic fractures

Question 7

How does the pelvic binder work?

Answer 7

Decrease pelvic volume and may improve stability reducing mortality.

Question 8

What are the signs and symptoms

Answer 8

Suggest mechanism
Pain
Incontinence
Gross haematuria
Asymmetry of anterior superior iliac spine
Feet position
Shock of unknown cause