rss
Emerg Med J 24:130-133 doi:10.1136/emj.2006.041384
  • Prehospital care

The prehospital management of pelvic fractures

  1. Caroline Lee,
  2. Keith Porter
  1. Academic Department of Traumatology, West Midlands, UK
  1. Correspondence to:
 Dr C Lee
 Academic Department of Traumatology, Room 28, West Wing, Institute of Research & Development, Birmingham Research Park, Vincent Drive, Birmingham B15 2SQ, UK; drcarolinelee{at}hotmail.com
  • Accepted 10 October 2006

Abstract

Pelvic fractures are one of the potentially life-threatening injuries that should be identified during the primary survey in patients sustaining major trauma. Early suspicion, identification and management of a pelvic fracture at the prehospital stage is essential to reduce the risk of death as a result of hypovolaemia and to allow appropriate triage of the patient. The assessment and management of pelvic fractures in the prehospital environment is reviewed here. It is advocated that the pelvis should not be examined by palpation or springing, and that the patient should not be log rolled. Pelvic immobilisation should be used routinely if there is any suspicion of pelvic fracture based on the mechanism of injury, symptoms and clinical findings.

Footnotes

  • Competing interests: None.