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<< The Focused Assessment With Sonography For Trauma (FAST) Examination And Pelvic Trauma: Indications And Limitations (Trauma CME)

Emergency Department Evaluation

Patients who present to the emergency department (ED) with suspected pelvic and/or abdominal injury are triaged according to the mechanism of injury, appearance, and vital signs. The mechanism of injury should be considered while assessing the patient’s airway, breathing, and circulation (ABCs); appearance; and vital signs in order to identify which patients are stable, and which require immediate attention and resuscitation.

History

Key questions in the history include:

  • What is the condition of the vehicle at the scene?
  • Was the patient wearing a seat belt?
  • Did the lower extremities or hip impact on the steering wheel or dashboard?
  • Did the airbags deploy?
  • Was there a preceding syncopal or seizure episode?
  • Was there a loss of consciousness at any point?
  • Was there a large amount of blood noted at the scene?

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