INSTRUCTIONS Early recognition and treatment of pelvic fractures
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Early recognition and treatment of pelvic fractures
GENERAL PURPOSE: To provide information about pelvic fractures and their management. LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Identify risk factors for pelvic fractures. 2. Describe the types of pelvic fractures. 3. Describe the management of pelvic fractures.
- In the case study, because L complained of severe pelvic pain associated with external rotation of his lower extremities, the first responders
- applied a pelvic binder.
- determined his GCS score.
- alerted the trauma team of possible hip fractures.
- alerted the facility to the need for surgical team preparation.
- In the case study, the trauma nurse alerted the blood bank of the potential need for which type of blood?
- A negative
- B negative
- O negative
- AB negative
- Pelvic fractures represent approximately what percentage of traumatic injuries treated in North American trauma centers?
- Mortality rises to 50% for patients with which type of pelvic fractures?
- open fractures
- sacral fractures
- acetabular fractures
- avulsion injuries
- Disruption of the anterior pelvic ligaments causes
- vertical instability.
- rotational instability.
- both rotational and horizontal instability.
- both horizontal and lateral instability.
- Pubic bone fractures are often associated with injuries to the
- small intestine.
- lower urinary tract.
- Appropriate pelvic binder application includes centering the binder over the
- iliac crests.
- pubic bones.
- greater trochanters.
- Which classification system is most commonly used for pelvic fractures?
- Torode and Zieg
- Which of the followingdoesn'tplace a patient at higher risk for hemorrhage due to pelvic fracture?
- male gender
- sacral-iliac joint disruption
- age over 60 years
- A straddle injury most often occurs in
- car crashes.
- motorcycle crashes.
- same-level falls.
- falls from a great height.
- For every 6 units of packed red blood cells, how many units of platelets should be administered?
- If L weighs 180 lb (82 kg), what minimal hourly urine output needs to be maintained?
- 40 ml
- 65 ml
- 82 ml
- 100 ml
- Neuropathies are usually associated with
- sacral fractures.
- pubic rami injuries.
- venous plexus injuries.
- puboprostatic ligament ruptures.
- What should be done when a patient has scrotal edema?
- Insert a urinary catheter.
- Use a towel roll for scrotal elevation.
- Remove the pelvic binder.
- Request a focused assessment with sonography in trauma (FAST) study.
- Foot drop is caused by damage to which nerve?
- obturator nerve
- superior gluteal
- The “D” in the primary survey stands for
- In the case study, a urinary catheter wasn't placed because
- the FAST test was positive.
- the urethrogram was negative.
- blood was noted at the penile meatus.
- retroperitoneal hemorrhage was suspected.
- Which type of injury isnotusually associated with pelvic fractures?
- bowel injury
- bladder injury
- prostate injury
- urethral injury