Pelvic trauma Flashcards
What percentage of patients with a pelvic fracture will have an arterial bleed?
10-15%
How much blood can be lost from a pelvic injury?
2 to 5 litres of blood
What are some complications of a pelvic injury?
Urinary and gynaecological injuries REctal injures Nerve root injuries Chronic pain Sexual dysfuction Disability
What percentage of people with unstable pelvic fractures will return to the work force?
only 60-70%
What is the definition of tamponade?
Closure or blockage of a wound or body cavity to stop bleeding
What usually causes pelvic fractures?
Direct blow or crushing injury to the pelvis of falling upright from a height of more than 3 metres.
What are the sings of pelvic fractures?
A simple pubis rams may be minimal painful
Early bruising and severe defuse pain not focused on the site of injury
Blood loss and significant shock
Pain on leg movement
tenderness and crepitus
what are the two roles the pelvic binder performs?
- Anatomical reduction of the pelvis- reducing the pelvic volume
- stabilises all forms of the fracture limiting movements and bring back into anatomical alignment.
What are the mortality rates for fractured pelvises?
up to 60%
What are the three classifications of pelvic fractures?
Anteroposterior
Vertical shear
Lateral compression
What causes anterioposterior pelvic injuries?
Commonly associated with massive torso injuries -
MOI- frontal force that causes open book injuries, rolled on by horse, motorcycle accidents
What are vertical shear pelvic injuries?
Significant shearing orcas applied to the pelvis- falls rom significant heights
What are lateral compression pelvic injuries?
Most common
Impact from the side
What are the common MOI for pelvic fractures?
Fall from a height
MVA
Horse riding
Fall from low height- elderly
What other injuries are vertical shear pelvic injuries associated with?
Long bone injury and spinal injury
