Utah Pediatric Trauma Network

Question

Patient meets all criteria following observation?

Normal mental status
Resolving or minor symptoms
Tolerating oral intake
Dependable social support
No abuse or neglect

Yes

No

Able to mobilize?
Able to tolerate pain?

Your Answer: Yes

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FX of pelvis (displaced or nondisplaced)

Avulsion fracture
Single break in pelvic ring, non-articular and non-displaced

Your Answer: Yes

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CT scan abd/pelvis with IV contrast, no delays

Hemodynamically Stable?

Your Answer: Yes

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Obtain AP pelvis to confirm pelvic fracture

< 15 yrs.

Severe mechanism of injury
Inability to bear weight
Pelvis asymmetry
Limb length shortening
Limb rotation
Open wound in pelvic area
*Bruising/laceration of buttocks, perineal, scrotal regions
*Blood from meatus, vagina or rectum

Your Answer: Yes

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(801) 662-2990 Tricia.Boulton@imail.org