To prevent life-threatening hemorrhage. To establish early pelvic stability to decrease pain and allow an upright chest posture so as to minimize pulmonary complications. To diagnose and manage concomitant urologic injuries. Types of soft-tissue injuries include perineal lacerations, vaginal tears and rectal tears. Follow ABC's, pay close attention to shock and resuscitation.
Pelvic fractures have a high rate of associated injuries.
Examine and document distal neurovascular status of limbs. Examine for urethral blood. If present, obtain urethrogram prior to Foley. Examine for perineal, vaginal, or rectal lacerations. Avoid excessive movement and transfers.