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Pelvic Injury; Roadside to Resus

The Resus Room

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In-Hospital Management of Pelvic Fractures

NICE suggests that we start with morphine as the first line analgesic for pelvic injury. We shouldn't be logrolling our patients if we're suspecting them of having a pelvic injury unless we're trying to find an occult penetrating injury. If you do need to logroll someone because of the risk of displacing a fracture or disrupting that tamponade, pay particular attention to hemodynamic instability. Once we've done all those bits we've made that assessment with applied a splint if it hasn't been already and it's indicated we've made sure of some minimal handling I guess what we need to do is get on with some imaging bearing in mind all that anatomy that we've covered.

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