PELVIC TRAUMA

See also Pelvic Fracture Management Flow Chart

PRIMARY SURVEY/RESUSCITATION

Circulation

PXR (not indicated in an alert/conscious patient not complaining of pelvic pain)

Do not insert IDC if there is evidence of a fracture, meatal blood, scrotal/perineal haematoma or high riding prostate

(see Retrograde urethrogram, Retrograde cystogram)

If the urethrogram is abnormal then insert a suprapubic catheter)

(see insertion of suprapubic catheter)

SECONDARY SURVEY

INVESTIGATIONS

X-RAYS

Retrograde Cytourethrogram

CT pelvis

CT abdomen with rectal contrast (in rectal injuries)

MANAGEMENT

See Classification of Pelvic Fractures

See Pelvic Fracture Management Flow Chart

OTHER MANAGEMENT

REFERRAL/DISPOSITION