Abdominal and Pelvic trauma

Question 1

What anatomical injury shoudl always be suspected in blunt trauma (broad area)

Answer 1

abdominal and pelvic

Question 2

What type of bleed may be present in those with decelerating injuries of blunt forces to the back

Answer 2

retroperitoneal

Question 3

How do you assess for pelvic #

Answer 3

if no obvious / clear signs can gently palpate pelvis but do not manipulate it

can dislodge clots and cause +++ bleed

Question 4

What is the management of pelvic #

Answer 4

if unstable: angiograohy or surgical if stable can trial conservative

Question 5

When might a retrograde urogram/urethrogram be warranted

Answer 5

if patient cannot void
if in pelvic binder
blood at urinary meatus
scrotal haematoma
perineal ecchymosis

Question 6

If a patient is persistantly unstable with suspected intraabdominal bleed or has visible penetrating wound / free air on axr what is the most improtant step in their mx

Answer 6

laparotomy

Question 7

If a person has been identified on 2ry survey to have a solid organ injury ie liver but they are haemodynamically stable what is the management

Answer 7

observation

Question 8

what injury is usually also associated with pancreatic injury

Answer 8

vertebral column

Question 8

when might duodenal injury occur

Answer 8

unrestrained front on impact

Question 9

rest card

Answer 9

rest card