Pelvic Injury; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 20 April 2020

⏱️ 58 minutes

🔗️ Recording | iTunes | RSS

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Summary

Fractures of the pelvis are found reasonably often in major trauma, but they’re a really challenging presentation. They are difficult to assess and accurately diagnose in the prehospital setting, mortality rates are high, particularly in patients with haemodynamic instability and there are often associated injuries. Associated mortality from patients with pelvic fractures who reach hospital is reported to be up to 19%, with mortality rates as high as 37% reported in the presence of haemodynamic instability.

In this episode we'll run through pelvic injuries, all the way from anatomy and mechanisms of injury, to assessment and management.

As always make sure you have a look at the references and supporting material attached in the show notes, and get in touch with any questions or comments and take care of yourselves.

Enjoy!

Simon, Rob and James

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.0	So hi and welcome back to the Recess Room podcast. I'm Simon Lang. I'm Rob Fenwick. And I'm James AIDS.
0:19.0	And we're back all together with another roadside to recess.
0:23.7	And this time we're going to be talking about pelvic injury.
0:27.9	We certainly are and I guess probably an injury pattern that we're all fairly familiar with
0:32.0	from both the pre-hospital and the in-hospital setting.
0:34.9	And as with all of these topics that we seem to cover,
0:37.7	I thought this is going gonna be quite a nice,
0:39.2	sort of easy-going topic,
0:40.5	but the more you look into it,
0:41.7	the more interest there is,
0:43.0	and hopefully we'll draw some of that out
0:44.8	in the next 20 minutes or so.
0:48.4	Yeah, if there's anything we're really good at,
0:50.8	it's making something really simple, really complicated.
0:53.8	No, the other way
0:54.4	around. I think we're all well aware that there's a lot going on out there with COVID-19
1:00.6	and there has been a phenomenal response from healthcare professionals, from emergency workers
1:06.1	and from those who are isolating themselves at home to protect the public. So a big thanks to all of you
1:11.9	for your efforts in that fight. A big thanks to SJTrem who collaborate with us on this podcast.
1:17.7	There are a free open access journal that cover all the sorts of publications that we cover here
1:22.2	on the podcast. Go over and have a look at their website on the hyperlink on ours to have a look
	...

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