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miércoles, 31 de mayo de 2017

Pelvic fractures

emDocs - May 29, 2017 - Authors: Lupez K -  Edited by: Koyfman A and Long B
A 50-year-old male presents to the ED via EMS after being a restrained driver in a head on high speed MVC. He is currently hemodynamically unstable with a BP of 87/45 and HR of 130. On primary survey, airway is intact, breath sounds are equal bilaterally, there is no obvious external hemorrhage, and his GCS is 15. Secondary survey is notable for a soft and non-tender abdomen, no extremity deformities, and no shortening or rotation noted on bilateral lower extremity exam. However, pain is elicited and instability is noted on gentle downward and medial compression of the pelvis over the iliac wings..."