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2 results

  • 3.13.5 - Traumatic Abdominal and Pelvic Injuries

  • from Section 3.13 - Severe Trauma and Multiple Injuries
  • Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
  • Book:
    Intensive Care Medicine
    Published online:
    27 July 2023
    Print publication:
    01 December 2021, pp 408-410

  • Summary

    Key Learning Points

    1. 1. Abdominal and pelvic trauma may be concealed.

    2. 2. Exsanguination into the abdominal or pelvic cavity should be managed in the resuscitation phase.

    3. 3. Obvious abdominal distension is an indication for laparotomy.

    4. 4. Post-operative ileus should be anticipated and managed appropriately.

    5. 5. Abdominal compartment syndrome is a serious complication of abdominal/pelvic trauma.

  • Medical myth: Bimanual pelvic examination is a reliable decision aid in the investigation of acute abdominal pain or vaginal bleeding

  • Todd Brown, Mel E. Herbert
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 5 / Issue 2 / March 2003
    Published online by Cambridge University Press:
    21 May 2015, pp. 120-122
    Print publication:
    March 2003
    • Article
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  • Reliance on the accuracy of the pelvic examination is upheld in many medical textbooks, but review of the literature does not support the accuracy or reproducibility of this examination. That this “test” is useful for ruling out serious disease will be exposed for the myth that it is.