Pubic symphysis diastasis sustained from a waterslide injury

Williamson, Michael; Vanacore, Felice; Hing, Caroline B.

doi:10.1016/j.jcot.2018.01.002

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Other less common causes include secondary to radiotherapy, pregnancy, infection, and several metabolic and congenital abnormalities. 1 The mortality rate of pelvic ring disruptions with multiple injuries is 10-15 %, while the mortality rate due to abdominal injury is as high as 50%. 4 The diagnosis is based on clinical signs, physical examination, and radiological findings.…”

Section: Discussionmentioning

confidence: 99%

“…The innominate bones merge anteriorly at the symphysis pubis, forming a ring structure that protects the blood vessels, nerves, urogenital organs, and rectum. Pelvic trauma, commonly associated with high-velocity force such as road traffic accidents, falls from height, and crash injury, 1 carries high rates of complica-tions. These include serious head and chest injuries, liver or spleen injuries, bone fractures, urogenital injuries, and rarely diastasis of the symphysis pubis.…”

Section: Introductionmentioning

confidence: 99%

“…2 Diastasis of symphysis pubis has been reported in 13-16% of pelvic ring injuries. 1 Of 66 patients with pelvic ring injuries there is 6% of patients get diastasis of the symphysis pubis. 3 The mortality rate of pelvic ring disruptions with multiple injuries is 10-15 %, while the mortality rate due to abdominal injury is as high as 50%.…”

Section: Introductionmentioning

confidence: 99%

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Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report

Basunanda¹,

Nurmalasari

Hafizh

et al. 2023

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Background: Pelvic trauma is commonly associated with high-velocity force-like road traffic accidents and carries high rates of complications, including diastasis of the symphysis pubis. The diastasis of symphysis pubis prevalence rate has been reported at 13-16%. This case report aimed to review the effectiveness of conservative pelvic binders in diastasis of the symphysis pubis in the emergency setting.Case Report: An eighteen years old female patient was referred to the Emergency Unit because of a motorcycle accident. She revealed worsening abdominal pain, unable to move both legs and swollen and bruised vulva. The patient is fully conscious, and the vital sign revealed low blood pressure of 89/56 mmHg. The AP pelvis X-ray showed diastasis symphysis pubis marked 3.87 cm wide. Immediate resuscitation was performed, stabilizing the pelvis using a conservative pelvic binder. X-ray evaluation showed surprisingly successful results as the symphyseal gap reduced to 0.66 cm. Discussion: In this case, the symphyseal gap was >2.5 cm, indicating surgical treatment. Recent studies suggest conservative therapy has good outcomes in the symphyseal gap >2.5 cm. Considering the patient's young age and no comorbidities, it was assumed that the healing process would occur quickly, so conservative treatment was chosen first. However, further evaluation is still needed due to the limitation of the follow-up from the patient. Conclusion: Conservative treatment using a pelvic binder called gurita is effective for emergencies with inadequate medical equipment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report

Basunanda¹,

Nurmalasari

Hafizh

et al. 2023

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Crush syndrome: a review for prehospital providers and emergency clinicians

Usuda,

Shimozawa,

Takami

et al. 2023

J Transl Med

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Introduction Disasters and accidents have occurred with increasing frequency in recent years. Primary disasters have the potential to result in mass casualty events involving crush syndrome (CS) and other serious injuries. Prehospital providers and emergency clinicians stand on the front lines of these patients’ evaluation and treatment. However, the bulk of our current knowledge, derived from historical data, has remained unchanged for over ten years. In addition, no evidence-based treatment has been established to date. Objective This narrative review aims to provide a focused overview of, and update on, CS for both prehospital providers and emergency clinicians. Discussion CS is a severe systemic manifestation of trauma and ischemia involving soft tissue, principally skeletal muscle, due to prolonged crushing of tissues. Among earthquake survivors, the reported incidence of CS is 2–15%, and mortality is reported to be up to 48%. Patients with CS can develop cardiac failure, kidney dysfunction, shock, systemic inflammation, and sepsis. In addition, late presentations include life-threatening systemic effects such as hypovolemic shock, hyperkalemia, metabolic acidosis, and disseminated intravascular coagulation. Immediately beginning treatment is the single most important factor in reducing the mortality of disaster-situation CS. In order to reduce complications from CS, early, aggressive resuscitation is recommended in prehospital settings, ideally even before extrication. However, in large-scale natural disasters, it is difficult to diagnose CS, and to reach and start treatments such as continuous administration of massive amounts of fluid, diuresis, and hemodialysis, on time. This may lead to delayed diagnosis of, and high on-site mortality from, CS. To overcome these challenges, new diagnostic and therapeutic modalities in the CS animal model have recently been advanced. Conclusions Patient outcomes can be optimized by ensuring that prehospital providers and emergency clinicians maintain a comprehensive understanding of CS. The field is poised to undergo significant advances in coming years, given recent developments in what is considered possible both technologically and surgically; this only serves to further emphasize the importance of the field, and the need for ongoing research.

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Pubic symphysis diastasis sustained from a waterslide injury

Cited by 2 publications

References 9 publications

Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report

Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report

Crush syndrome: a review for prehospital providers and emergency clinicians

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