Author: embeds

Non-Major Trauma Pelvic Fractures in Older Adults

The vast majority of non-major trauma pelvic fractures presenting to Calderdale & Huddersfield A&E will be fragility fractures in elderly patients — almost exclusively:

  • Isolated pubic rami fractures (anterior ring, FFP-I)
  • Pubic rami fractures with concurrent non-displaced sacral fracture (FFP-II)

These represent 84% of all elderly pelvic fractures nationally, and virtually all are non-operative injuries by definition. The remaining cases are a small minority and are addressed in the referral criteria below.

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Toddlers Fracture

Toddlers Fractures

  • Typically occur between 9months and 4yrs of age.
  • After a low energy twisting injury, such as;
    • Slipping and twisting while walking/running/jumping
    • Leg caught when sliding off parent/chair/toy
  • Clinical Features:
    • Wont put foot down
    • Not walking
    • Often little tenderness
    • Gentle twist of ankle and knee will be painful
  • Xray features:
    • Spiral fracture tibia (often seen best on lateral view
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Major Haemorrhage Protocol

In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MHP

Remember:

  • Do the Basics – don’t forget ABCD
  • Inform Transfusion and get someone to run a G&S sample down
  • FFP can take up to 45min and platelets come from Leeds
  • If you no longer need the MTP – inform transfusion and return products ASAP
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