- Presence of Shock:
-
Inspection
- Palplation:
- symphysis, pubic rami, iliac crests,
sacroiliac;
- bimanual compression & distraction of the iliac wings, & abduction &
adduction of the hip should be done to detect instability;
- manual traction can aid in the determination of vertical instability
- grasp both legs and pull one caudad while pushing the other cephalad
-
Neurologic Injury
- Associated Fractures:
-
Spine:
-
Femur:
-
Gyn, Urinary & Rectal Injuries:
- RUG vs. Suprapubic catheter;
- Rectal and Vaginal exams should be performed in order to determine
whether the pelvic injury communicates w/ these structures.
- lacerations indicate an open fracture (need for colostomy)
- during the rectal examination, the examiner can gently palpate
the sacrum for tenderness or asymmetry.
