42yo man in high speed MBA (single vehicle accident: lost control on wet road, thrown from motorbike). He has superficial grazes to his right buttock, is complaining of hip & back pain. HR 136 sinus tachy. BP 97/58.
You suspect pelvic injury. Describe the findings on the pelvic xray.
Management of severe pelvic trauma – as part of secondary survey:
-don’t “spring” the pelvis (ie. pushing outwards on iliac crests), it’s only going to make things worse if there is an open book fracture
-use a pelvic binder, but make sure it is in the correct position – around the greater trochanters. If it is too high & it can widen an open book fracture. Binding helps reduce a widened diastasis fracture, and may reduce venous ooze. It will not stop arterial bleeding – that requires definitive endovascular or surgical control.