PT  - JOURNAL ARTICLE
AU  - Caroline Lee
AU  - Keith Porter
TI  - The prehospital management of pelvic fractures
AID  - 10.1136/emj.2006.041384
DP  - 2007 Feb 01
TA  - Emergency Medicine Journal
PG  - 130--133
VI  - 24
IP  - 2
4099  - http://emj.bmj.com/content/24/2/130.short
4100  - http://emj.bmj.com/content/24/2/130.full
SO  - Emerg Med J2007 Feb 01; 24
AB  - 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.