The management of an extraperitoneal bladder injury associated with a pelvic fracture Case A 26-year-old female was involved in a motor vehicle accident as a belted driver after losing control at highway speeds and rolling multiple times into a ditch. There was a prolonged extrication and due to inclement weather conditions, the patient was unable to be evacuated by air ambulance. She was transferred by EMS to a peripheral hospital before expedited transfer to a tertiary trauma centre was possible.