Pelvic Injuries
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SAM Pelvic Sling II « SAM

SAM Pelvic Sling II « SAM | Pelvic Injuries | Scoop.it
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The website from SAM Medical shows exactly how to apply via video, the benefits, summarizes research around the SAM sling and has other important information that supports the existing QAS guidelines. 

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Pre-hospital Expedition Medicine Series – Pelvic Injury | Expedition & Wilderness Medicine | Expedition Medical Training Courses | Wilderness medicine training

Pre-hospital Expedition Medicine Series – Pelvic Injury | Expedition & Wilderness Medicine | Expedition Medical Training Courses | Wilderness medicine training | Pelvic Injuries | Scoop.it
Dr Amy Hughes, Medical Director of Expedition Medicine and Pre-Hospital Emergency Medicine Registrar and HEMS paramedic Dave Marshall, both part of the Kent Helicopter Emergency Medical Team, continue their series examining pre-hospital expedition trauma care and associated kit. In the second article in the series, Dave Marshall gives an overview of managing pelvic fractures pre-hospitally and in an expedition environment, and introduces the use of the pelvic splint.
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In Amy Hughes’s review of pelvic injuries her clinical features of a pelvic fracture are extremely similar to the QAS guidelines. She also discusses not springing the pelvis, early recognition of significant mechanisms of injury such as motor vehicle accidents, falls from height, crush injuries and pedestrian versus car. In this article it is stated that management of pelvic fractures involves applying a SAM sling of which is essential to patient outcomes.

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The prehospital management of pelvic fractures

The prehospital management of pelvic fractures | Pelvic Injuries | Scoop.it
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Caroline Lee and Keith Porter second the QAS guidelines of not springing the pelvis when pelvic injury is suspected. This article seconds the fluid resuscitation guidelines when dealing with internal haemorrhage and that a SAM sling should be applied within the pre hospitals primary survey. 

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Trauma.org | Management of Exsanguinating Pelvis Injuries

Trauma.org | Management of Exsanguinating Pelvis Injuries | Pelvic Injuries | Scoop.it
Largest Internet Trauma Care Site - Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, Trauma Imagebank, Fellowship database. Home of Trauma Moulage on the Internet.
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In the article, Management of Exsanguinating Pelvis Injuries, it supports QAS guidelines to perform an eFAST scan though not delaying time on scene. It does strongly recommend performing two scans as it has a high false-negative result. It also supports many other aspects of QAS guidelines such as fluid resuscitation, signs and symptoms and mechanism of injuries like Amy Hughes’s.

 

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Fracture management of unstable pelvic fractures

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As Dr. Archdeacon stated in his orthopaedic trauma association specialty day, getting a patient quickly to definitive care is most vital when dealing with pelvic injuries. He highlights the importance of applying an external fixator such as the SAM sling.  He also talks of mortality rates increasing from 10-20% to 38% for those patients who are already hypotensive upon arrival to hospital. Dr. Archdeacon also makes a very valid point that patients presenting with pelvic injuries commonly have many other injuries such as thoracic, urology and abdominal injuries. The QAS are clear in stating the SAM sling should be applied in a timely manner in certain mechanism of injury events, perhaps even prior to thorough assessment.

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Video: Cédric Gracia's Bloody Crash - Pinkbike

Video: Cédric Gracia's Bloody Crash - Pinkbike | Pelvic Injuries | Scoop.it
CG had a bit of a crash last month. You might want to give this a miss if you're squeamish...
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When watching Cedric Garcia’s video after a motorbike injury, it is very clear just how much blood a patient can lose and how quickly due to the femoral artery. This emphasises the necessity to apply the SAM sling for many reasons in traumatic settings. In this video a man treating Cedric states that it would have been perfect if they had something similar to the SAM sling.  

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