Louisa Mazza-Hilway, MD
PGY-3 EM
St. Joseph’s Regional Medical Center

Background 

  • Pelvic trauma is associated with high morbidity and mortality
  • Prompt recognition and treatment of pelvic injury in the trauma patient is key
  • Stabilization of both patient & pelvis

Overview

  • Pelvic Fracture
  • Bladder Injuries
  • Urethral Injuries

Types of Pelvic Fracture

  • Anterior Posterior Compression
  • Lateral Compression
  • Vertical Shear

Type of Pelvic Stabilization

  • Pelvic binder
  • Sheet
  • External Fixation

Patient Stabilization

  • Interventional Radiology
  • Preperioneal Packing
  • REBOA

Signs of Urethral Injury

  • Blood at meatus
  • Gross Hematuria
  • Inability to Volid
  • Ecchymosis/swelling of scrotum
  • High riding prostate

Show Notes by: Marco Propersi, DO (@marco_propersi)