MedBugs: SAQ #567

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Case: Pelvic Trauma

You are the consultant in a tertiary paediatric hospital looking after a 14-year-old male, brought in by ambulance after being hit by a car at 70 km/h. His weight is 60 kg. Observations: HR 120 bpm, BP 85/50 mmHg, CRT 4 seconds, RR 25/min, sats 93% on room air, temperature 36.1 °C.

1. List (3) key signs of a major pelvic injury in a child that would be identified on examination. 3 marks

2. List (3) important clinical findings on the above imaging. 3 marks

3. What is the role of a pelvic binder in this patient? 3 marks

4. State the key landmark for correct placement of the pelvic binder in this child and state the potential risk of incorrect placement. 2 marks

5. Under what circumstances might a pelvic binder be removed, even if a fracture has been identified? 1 mark

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