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Pelvic Fractures and the Unstable Patient

Pelvic Fractures and the Unstable Patient

Pelvic Fractures and the Unstable Patient

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Diagnosis of Fracture<br />

• Salvino 1992 Journal of Trauma<br />

779 awake <strong>and</strong> alert blunt trauma pts, all got<br />

AP pelvis<br />

743 negative physical exams, <strong>and</strong> no<br />

complaints of pelvic/hip pain<br />

0.4% rate of missed pelvic fractures<br />

3 simple anterior rami fractures requiring no<br />

intervention<br />

• AP pelvic film not necessary in <strong>the</strong> reliable,<br />

examinable patient

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