Background Shocked patients with pelvic fractures are amongst the most severely injured patients requiring trauma care. They present a complex management challenge with mortality rates of up to 60%, the majority being the result of early exsanguination.[1] Errors and delays in the process of care contribute to this substantial mortality. Multidiscipline performance improvement programmes (PIP) ...

1 Adams JE, Davis GG, Heidepriem RW, et al. Analysis of the incidence of pelvic trauma in fatal automobile accidents. Am J Foren Med Pathol 2002;23:132–6. 2 Schmal H, Markmiller M, Mehlhorn AT, et al. Epidemiology and outcome of complex pelvic injury. Acta Orthop Belg 2005;71:41–7. 3 Gurdjian ES. Cerebral contusions: re-evaluation of the mechanism of their development. J Trauma 1976;16:35–51. 4...

We report two cases of acute bladder injury with bladder neck necrosis identified during the initial operative evaluation and within the early postprocedural period in patients with significant pelvic trauma requiring pelvic vascular embolization. To our knowledge, this is the first report of bladder neck necrosis found during the initial intraoperative surgical evaluation or early postoperativ...

Risk factors Increased intra-abdominal pressure eg, constipation, diarrhoea, benign prostatic hypertrophy, pregnancy, severe or chronic cough (eg, chronic obstructive pulmonary disease, cystic fibrosis, whooping cough). [4] Previous surgery. [5] Pelvic floor dysfunction. [6] Parasitic infections eg, amoebiasis, schistosomiasis. [7] Neurological disease eg, previous lower back or pelvic trauma, ...

Aims of course/workshop This workshop will familiarize attendees with the basic methodology and clinical uses of pelvic floor ultrasound imaging, both using 2D ultrasound and 3D/ 4D technology, including the detection and assessment of pelvic floor trauma. Depending on local conditions, we may also be able to use live scan demonstrations to illustrate examination methodology and common conditions.

Risk factors Increased intra-abdominal pressure eg, constipation, diarrhoea, benign prostatic hypertrophy, pregnancy, severe or chronic cough (eg, chronic obstructive pulmonary disease, cystic fibrosis, whooping cough). [4] Previous surgery. [5] Pelvic floor dysfunction. [6] Parasitic infections eg, amoebiasis, schistosomiasis. [7] Neurological disease eg, previous lower back or pelvic trauma, ...