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Pelvic motion assessment

McSwain, Norman E nmcswai at tulane.edu
Thu Dec 27 03:11:34 GMT 2012


Thanks very much for your thoughts and assistance

Norman

Norman McSwain MD, FACS
Professor of Surgery, Tulane University
Trauma Director, Spirit of Charity Trauma Center, ILH
Medical Director PreHosptial Trauma Life Support (PHTLS)
504 988 5111


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Zsolt J. Balogh
Sent: Wednesday, December 26, 2012 7:19 PM
To: Trauma-List [TRAUMA.ORG]
Cc: Peter Pons
Subject: RE: Pelvic motion assessment

Dera Norm and Peter,

Just leave it out.

No point doing it does not change the management.
This method is not used by us who are actually fixing these injuries and have a daily hands on experience what instability means.

Somebody has neck pain or suspected neck injury prehospital we do not "rock" their neck although there is no strong evidence for your points 1-6 translated to spine injury either.

Best Regards,

Zsolt Balogh

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E
Sent: Thursday, 27 December 2012 9:49 AM
To: Trauma-List [TRAUMA.ORG]
Cc: Peter Pons
Subject: Pelvic motion assessment

I am currently assisting Peter Pons, MD, the editor of PHTLS, in the revision of  PHTLS text for the 8th edition. It is the PHTLS editorial position that current statements in the 7th edition should not be changed without scientific data

On this website and others there has been many statements about the use of the pelvic rock or pelvic pressure as a negative factor in patient assessment because it increases problems in patient care and should not be done. I can find no literature to support that opinion. Please assist me finding some data. I need references not personal opinions

I cannot find articles in my literature search. Perhaps I am not using the correct search words

Yes I know: movement of a fracture is painful but that is not the question nor is it very accurate in my own use of the technique. I need references either negative or positive for the below statements:

1)      Such assessment motion increases hemorrhage

2)      Such assessment motion increases morbidity

3)      Such assessment motion increases mortality

4)      The pain produced, or lack thereof, is an accurate assessment tool

5)      The test is not very accurate for assessment of pelvic fracture

6)      Or any other positive or negative aspects of this assessment tool that is referenced using prospective or retrospective data

Norman

Norman McSwain MD, FACS
Professor of Surgery, Tulane University
Trauma Director, Spirit of Charity Trauma Center, ILH Medical Director PreHosptial Trauma Life Support (PHTLS)
504 988 5111

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