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Originally posted by Doc T
what is DCAP? I'm civilian...is this a military acronym?
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Deformity, Contusion, Abrasion, and Puncture. Its not military in origin, but civilian EMS terms. It is taught as a part of the EMT curriculum now. Its just another acronym to keep up with.
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pelvis rock leads to LOTS of pain but no boney crepitance appreciated. Right foot is swollen/bruised/tender. Pulses are intact.
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Splint with SAM splint and elastic bandage in position found.
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the topic is obviously PELVIC fractures... so what are the three different types?
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Stable, Partially Stable(Open Book, open Symphysis Pubis), and Unstable(Disruption of Sacroiliac Joint)
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how can you distinguish them clinically?
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--Stable: No movement or crepitance with pelvic rock/tilt or downward pressure on symphysis pubis
--Partially Stable: Movement, pain, and/or crepitance on Symphysis Pubis without pain to the sacrum.
--Unstable: Movement and/or crepitance on pelvic rock/tilt and Symphysis Pubis, edema, and pain to the sacrum.
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Which types tend to bleed?
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Partially Stable and Unstable, but Unstable by far the worse.
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what can you do in the field to possibly decrease bloodloss?
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External fixation utilizing a compression splint such as MAST or pillows and 9' strap across the pelvis and knees thus by closing the bleeding fracture surface and allowing a clot to form.