Trauma: Pelvis Essay

970 words - 4 pages

Trauma: Pelvis
The bony pelvis consists of the ilium, ishium, and pubis, which form an anatomic ring with the sacrum (Mechem, 2013). The pelvis also includes the pelvic girdle – right and left hipbones, and the coccyx. Each hipbone is formed by three bones fused to one another to form a single bone. The ilium is the superior, the ishium is inferior and posterior, and the pubis is inferior and anterior. The hipbones join anteriorly at the symphysis pubis, or pubic symphysis. Posteriorly, each hipbone joins the sacrum at the sacroiliac joint (McGraw-Hill). Soft tissues surrounding the pelvis are the urinary bladder, uterus, bowel and sacrospinous ligaments (Kalman).
The visual differences of ...view middle of the document...

Ensure no rotation of the pelvis while centering the IR to the projected central ray. The central ray for the inlet projection is forty degrees caudal to the level of ASIS. The central ray for the outlet projection is twenty to thirty-five degrees cephalad for a male patient and thirty to forty-five degrees cephalad for a female patient while centering one to two inches inferior to symphysis pubis or greater trochanter. Suspend respiration during the exposure with a source to image distance of forty to forty-four inches (Bontrager, 2014).
For the Lillienfield method, the patient is seated erect on the table, with the knees flexed slightly and the feet resting on the table top. A supporting structure should be placed behind the knees. The midsagittal plane of the patient’s body should be centered about the midline of the table. Ensure no rotation of the pelvis. The arms should be extended behind the patient with the hands placed on the table top, supporting the torso in a position approximately fifty degrees from vertical. A supporting structure should be placed behind the lower back. The central ray is directed perpendicularly to the IR and centered to a point one and a half inches superior to the symphysis pubis. Suspend respiration during the exposure (Baert, 2006).
For the AP projection, the patient is in a supine position with the pelvis centered to the centerline with the legs extended. Both feet, knees, and legs equally rotated internally fifteen degrees (unless any fractures of the hips are involved). Ensure no rotation of the pelvis while centering the IR to the central ray. The central ray should be perpendicular and midway between ASISs and symphysis pubis. Suspend respiration during the exposure with a source to image distance of forty to forty-four inches (Bontrager, 2014).
Pelvic fractures are most commonly described using one of two classification systems. The Tile classification system is based on the...

Find Another Essay On Trauma: Pelvis

Forceps: A Birth Aide or a Baby Killer?

1693 words - 7 pages article in Pediatric Dentistry found that the average force used to expel the baby using forceps was 43.5 pounds with 4.55 pounds of force pushing against the head (Germane & Rubenstein, 1989). This amount of force can easily cause trauma to the head. The most frequent injuries seen include skull fractures, intracranial hemorrhages, peripheral nerve injuries, and bleeding under the cranial bones. Compression of the temporal bones, the wings of the

Tension Pneumothorax Essay

2147 words - 9 pages ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation. A tension pneumothorax can be caused by a blunt or penetrating trauma, in the case study provided it would be a blunt trauma. The trauma to the chest area causes damage to the plural cavity; either the visceral (lines either lung) or parietal plura (lines the thoracic wall), or can be caused by trauma to the

Seatbelt: It can also kill you

1577 words - 6 pages backward.If the knee collides with the dashboard, it has two possible points of impact, the patella and the tibia.If the patella hits the dashboard, the energy of the impact is transferred and absorbed on the shaft of the femur, which can then break it. If the femur doesn't break the continued forward motion of the pelvis onto the femur that remains intact can override the femur's head, resulting in a posterior dislocation of the acetabular

Pregnancy and the Psychological Dangers of Prenatal Surgery

1691 words - 7 pages American Medical Association (1994) continues "Prolapsed cord (where the cord comes down before the baby), placenta abruptio (where the placenta separates before the birth), placenta previa (where the placenta partially or completely covers the cervix), or cephalopelvic disproportion (CPD, meaning that the head is too large to fit through the pelvis) can also produce the need for a cesarean section to be performed." In all of these cases, if no

Role Play in Healthcare

999 words - 4 pages Untitled ROLE PLAY IN HEALTH CARE "Ok Deidra, the patient in trauma room 7 needs an x-ray". "Ok Tom, what's the status of the patient"? "Deidra, she is a 27 year old female with potential bilateral fractures to both femurs, a potentially pelvis fracture, non-ambulatory, and non-weight bearing". I remember this scenario so well because it was the first time I had to actually perform outside of

Role Play in Health Care

804 words - 3 pages Role Play PAGE \* MERGEFORMAT 4 "Ok Sam, the patient in trauma room 7 needs an x-ray". "Ok Smith, what's the status of the patient"? "Sam, she is a 20 year old female with potential bilateral fractures to both femurs, a potentially pelvis fracture, non-ambulatory, and non-weight bearing". I remember this scenario so well because it was the first time I had to actually perform outside of textbook knowledge. As I think about my clinical

Management of Suspected Spinal Injury

1777 words - 7 pages assistance of bystanders is necessary so that stability of the spine is preserved (Greaves, Hodgetts, Porter, & Woollard, 2012). The patient will be log rolled onto their right side because of the injury on the left, if they have trauma in their chest cavity log rolling onto their left side could exacerbate the injuries (Greaves, Hodgetts, Porter, & Woollard, 2012). Once patient is on their right side a spinal board needs to positioned inline with the

crit analysis

3130 words - 13 pages . Identifying the sex of the victim is a little easier than age because there are fewer alternatives. If the deceased is an adult, the probable sex can be determined by examination of the pelvis, skull and other bones (Killam, 2004, p. 5). When the anthropologist determines the sex via the remains, it eliminates potential subjects as well as narrows down the possibilities of whom the remains belong too. Another important characteristic that should

The Laparoscopic Method

1457 words - 6 pages optic instrument, usually attached to a video camera” ( Laparoscopic surgery is remarkable from how it works to the many different procedures that can be performed through laparoscopic surgery, and how much less trauma it causes the body than open surgery. Laparoscopic surgery is also known as minimally invasive surgery. Surgeons use the laparoscopic method to perform surgeries of the abdomen. According to the world

Personal Birth Plan

2258 words - 9 pages personal preference of what would calm me at the time of labor (Adams & Bianchi, 2008). Most likely, I would choose therapeutic music without lyrics to create a feeling of serenity. Environmental control is important in the development of my birth plan. Positioning can reduce pain, use of analgesic intervention, perianal trauma, and induce more effective contractions. The research conducted by Adams and Bianchi (2008) suggests that sitting positions


1200 words - 5 pages head is too large to pass through           the mother’s pelvis,  A fetal illness or abnormality makes labor and vaginal           delivery unsafe,  Disease or abnormality in the mother,  A previous c-section where the incision in the uterus was made vertically,  Preeclampsia or eclampsia, and breech (feet or buttocks first) or transverse (crosswise) presentation (Taylor, 1). A concern that many women have

Similar Essays

Forensic Case #356228 Essay

1730 words - 7 pages the porous vs. the non porous bones. He or she will do this by taking into consideration the size, shape, and overall texture of the bones. Once this has been done it is important to identify all the bones that are recovered. The humans bones found included a skull, both upper arm bones (humeri), both thigh bones (femora), an assortment of cervical, thoracic, and lumbar vertebrae, forearm (radius) with gnaw marks, some rib bones, pelvis, wrist

Mobility On Labour Essay

717 words - 3 pages and to establish effective contractions adopting upright positions should be encouraged (Frye, 2004 cited in Steen, 2012). Steen (2012) then goes on to further advise on positions which may help with moving baby into a more favourable position to facilitate an easier birth. The optimal fetal position for the second stage of labour is usually occipito anterior (OA), which means the fetus’ head is down in the pelvis facing the maternal spine

Tailbone Fracture Essay

790 words - 3 pages structures such as your pelvis. The muscles forma "pelvic floor." When these two structures are not working together bowel,bladder, and sexual problems are more likely to occur. There is an importantcollection of nerves directly in front of the tailbone partially responsible for controlof the pelvic organs. More importantly the tailbone contains tissue that helpsprotect the brain and spinal cord.A tailbone fracture is often caused by falling into a

Radiographic Physics And Images Essay

2003 words - 9 pages (following this pattern) will be the antero-posterior tibia/fibula view and then the antero-posterior mortise ankle view. Then an antero-posterior pelvis should be performed, followed by an AP C3-7 cervical spine view. By following this order the patient has not had to move considerably and the images have been done moving the tube as little as possible.Radiographic technique to achieve projections (including and modifications) In a trauma situation