pelvis trauma

Question 1

MOI of pelvis fracture

Answer 1

AP compression (open book)
vertical shear

Question 2

stability test of pelvis fracture

Answer 2

Medial “closing” at level of iliac crests -Alternate pelvic rolling
Perform tests just once not to cause any further injury.
Pelvic stability verified during ATLS assessment
( “C” Circulation) Careful not to cause more internal bleeding.

Question 3

if pelvis fracture is suspected what should you do

Answer 3

Maintain manual stabilization until mechanical binder applied

Question 4

pelvis binder is place where

Answer 4

over greater trochanter

Question 5

can you use a pelvic binder even if you are in doubt of a fracture

Answer 5

yes

Question 6

what do you need to keep together with pelvic binder

Answer 6

knee and ankle

Question 7

Purpose of Pelvic Binder:

Answer 7

Does very little to reduce volume or create a pelvic tamponade because of the lack of vertical confinement for the retroperitoneal hematoma.
❑ Acts more like a « pelvic splint » to stabilize and minimize any disturbance for the formation of a hematoma / clot.
❑ Helps with patient comfort by reducing tension on the vessels and nerves

Question 8

what is the sheet method

Answer 8

Maintain manual stabilization
Pass sheet under lumbar hollow or under knees
Slide under to level of greater trochanter
Tie double knot in sheet, pass small stick in knot and twist for windlass effect
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