Pelvic Injuries

Typically caused by a fall or crush injury. The pelvis is fractured by major impact and is often associated with injury to abdomen or spine. It is a ring of bone and thus breaks in more than one place (try to break a polo mint in one place only). Extensive bleeding and shock are often seen with these injuries.

The first aid treatment is to keep the injury still and supported.

Unconscious casualties with suspected pelvis injuries are not rolled to their side.

The relatively long legs can cause increased pain and compromise clotting, so both legs must always be immobilised.

A specialist pelvic splint is the best method of pelvis support, with both legs fastened together.

Fitting a pelvic splint

• Do NOT roll casualty
• Lift using clothing or slings
• Place pelvic splint in position
• Lower casualty
• Splint around hip-bone
• Fasten buckle
• Pull both sides firmly, do not rock
• On hearing loud ‘click’ – secure
• If pelvic splint causes pain, do not use it!