pelvic fractures

[Timothy J Coats (SURG) 7728]

Preserve clot - minimal movement, gentle handling, minimum of 
rolling. Punch anyone who tries to 'spring' the pelvis. Fit pelvic belt 
(elasticated version of the old 'many-tailed-bandage' with velcro 
fastening) on basis of MOI. Minimal iv fluid to preserve systolic of 70 
(90 mmHg if associated head injury). Take to a hospital that 
understands the condition!

(NB: Lower body crush with weight in-situ may need to be treated 
differently).

Tim

> How are pre hospital people treating pelvic fractures in your area?
> 
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Timothy J Coats MD FRCS FFAEM
Senior Lecturer in Accident and Emergency / Pre-Hospital Care
Royal London Hospital, UK.