- hemodynamic instability
- GU injury
- Nerve injury
- Mortality
Initial Evaluation
-----ATLS protocol : ABCDE's
-----1st & 2nd Survey
Open Pelvic Fractures
-----Perineal Laceration
-----Vaginal Injuries
-----Rectal Injuries
Associated Injuries
----MAjor Blood Vessel : Internal Iliac/Branches , Pelvic Vein
----Neurological Compromise: Lumbosacral plexus, Cauda Equina
----Lower GI tract
----Lower GU tract
Radiographic
---->2.5 displacement of symphysis
---->5mm displacement of SI complex
----Presence of posterior fracture gap
----Avulsion fractue
CLASSIFICATION
A; stable
B: rotationally unstable, vertically stable
C: rotationally and vertically unstable
2. OPEN FRACTURES
CLASSIFICATION
----Gustillo-Anderson
In ED
----Appropriate AB
----TEtanus status
----Realign extremity and splint
3. COMPARTMENT SYNDROME
Compression/Constriction of vessels, nerves and muscles in closed fascial compartment resulting in
-> decreased perfusion
->ischemia
->cell death
Diagnosis: Pain, Pallor, Paresthesia, Pulselessness, Paralysis
Measurement
----Intracompartment pressure >30mmHg
----Diff between dias and intracompartment <30mmHG
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