ABSTRACT
Pelvic injuries may result in fractures of the pelvic ring, acetabular fractures or both. Pelvic binders are applied as soon as possible to such patients on scene. If pelvic binders are not available, a sheet can be wrapped round the pelvis and tightened with a windlass mechanism using a bar or stick. Inlet and outlet views allow visualization of the pelvic ring and Judet views, visualization of the acetabulum. Pelvic ring fractures are usually due to a high-energy injury. Anteroposterior compression injuries are usually seen in mechanisms such as motorcyclists straddling the petrol tank at impact or horse riders who have been fallen on by the horse. Pelvic binders are now widespread and are a very effective means of providing initial stability, reducing the pelvic volume and haemorrhage. Extraperitoneal bladder rupture may be treated conservatively unless the pelvic fracture is unstable, in which case it should be repaired at the time of fixation.
