Week 7- Sager and Pelvic Binder Flashcards
What is the axial skeleton?
skull, ossicles, hyoid bone, rib cage, vertebral column
What is the appendicular skeleton?
shoulder girdle, arm, hand, pelvic girdle, leg, foot
What are s/s of a pelvic #?
pain in groin/lower back
pain in abdomen
intense pain when walking
tenderness, brusing, swelling
What are causes of pelvic #’s?
MVC
Major falls
Minor falls (elderly pt)
Athletic activities
What is a stable pelvis #?
often only 1 break in the pelvic ring
broken ends of bones line up adequately
low energy #’s are often stable
What is an unstable pelvis?
usually 2 or more breaks in the pelvic ring
broken bones do not line correctly (displacement)
high energy events cause these #’s
Pelvic # treatment
sheet wrap or T Pod
How much blood can be lost from the pelvic region?
3L or potential full blood volume
Common causes of hip #’s?
Falls
MVC’s
Women with osteoporosis
Older pt’s falls from standing
Thyroid problems and intestinal disorders
Hip #’s s/s?
Severe hip/groin pain
Inability to put weight on it/ walk on it
Bruising, swelling, inability to move/lift/rotate leg
Shorter leg on injured site / externally rotated
Palpation will be PAINFUL !!
Treatment for Hip #’s
Stabilize hip ON scene
Buddy splint legs
Requires surgery to FIX
Femur # signs/symptoms?
Instant severe pain
Difficulty moving the leg
Severe brusing
Deformity of the thigh
Injured leg might be shorter
Bone protruding the leg
Swelling
Hypovolemic shock
Causes of femur #’s?
High speed MVC’s
Falls from heights
Common in pt’s osteoporosis
Gunshot wounds into femur
Fall from standing
Types of Femur #’s:
Femoral mid-shaft fracture: abreak in the middle of the bone or narrow part of the femur
Suprecondylar fracture: a break just ABOVE the knee joint
Proximal fracture: a break in the uppermost part of the thigh bone next to hip joint
Treatment of femur #’s
immobilizing with a SAGER splint (if ISOLATED mid shaft #)
pain meds
stop massive hemorrhage
treat for SHOCK
