Pelvic Fractures

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Types:
Open-Book:  Exactly how it sounds.  Pelvis split down the middle at the pubic symphysis.   You may see this in a head on collision, for example.
 
Vertical Shear:  One half of pelvis sheared upwards
 
Lateral Compression:  Half the pelvis crushed inward or outward.  You may see this in a T-bone accident, for example.  
Indications:
Unstable pelvis, hypotensive patients.  You will likely place this before you get imaging as it is done during the secondary survey.
 
Management:
T-Pod!  In almost all cases of pelvic trauma, you’re going to place the T-pod.  It’s placed like a mini-skirt, with the binder around the greater trochanters.  Here’s a great blog for further reading and videos on how to place them:  http://www.tamingthesru.com/blog/acmc/application-of-pelvic-binders
Other Considerations:
When you’re done worrying about the bleeding, think of other possibilities such as ureteral/gonadal injuries, hip fractures, retroperitoneal hemorrhage.  
 
References:
https://www.ncbi.nlm.nih.gov/pubmed/25208283
http://www.aast.org/pelvis-injuries
http://www.tamingthesru.com/blog/acmc/application-of-pelvic-binders
https://radiopaedia.org/articles/pelvic-fractures
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