A 22-year-old Ubereats delivery man is brought in by retrieval to your tertiary ED having been run over by a bus. He is complaining of severe pelvis and lower back pain. He was wearing a helmet and has no clinical evidence of a head injury. He has been persistently tachycardic and hypotensive prehospital. His observations on arrival to resus are: Temp 36, HR 122, BP 70/50, RR 22, Sats 95% RA, GCS 14/15. A full trauma call has been placed.

Pelvic crush injury

1. List (2) pertinent positive findings shown on this Xray. 2 marks

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2. List the (3) categories of Young and Burgess/Resnick classification of pelvic fractures with the major radiological findings of each 3 marks

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3. How would you classify this patient’s injury? 1 mark

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4. Outline (8) actions you will take to optimise the patient’s haemodynamic status. Include doses/endpoints where relevant 2 marks

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5. List (4) potential IMMEDIATE complications of this injury 2 marks

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