About the Course

We firstly look at the pelvis and examine why this is such an important bone housing a dense vascular network. We progress on to the major sources of mortality associated with an injury to the pelvic region - that of bleeding. We then take a look at fractures of other bones and review the important principles of fracture management.

We then take a look at methods of splinting these injuries together with some of the additional important aspects of care including pain management strategies, antibiotics for open fractures and hypothermia avoidance.  We then review the principles of fracture management that can optimise a patient's transferral of care to in-hospital clinicians. Topics we specifically review in this section include:

  • Underlying pathophysiology of these injuries 
  • Traction devices and box splints 
  • Pelvic splints 
  • Pre and post-interventional assessment


About the Author

Eoin Walker

Trauma Lead for World Extreme Medicine

Eoin Walker works as an Advanced Paramedic Practitioner for London Ambulance Service. He also works as the trauma lead for World Extreme Medicine. He has also completed 9 years on London's Air Ambulance as a flight paramedic. He also works for various NGO's within the humanitarian sector. Human Factors have been a common theme through all these institutions

About the Organisation

World Extreme Medicine

World Extreme Medicine (formerly Expedition & Wilderness Medicine) is the world’s leading provider of expedition, wilderness and remote medicine training courses for medical professionals.WEM was born out of expeditions over 20 years ago, while we have changed and grown, we continue to lead the way in outstanding and inspirational training. Alongside exciting training we also offer extensive consultancy and medical support for projects across the globe. If you have a project you’d like help with please get in touch HERE.

Course Curriculum

  • 1

    Limb and Pelvic Injury

    • Limb and pelvic Injuries PHTW intro

    • Aims of phc of limb and pelvic injuries

    • The pelvis

    • The main blood vessels in pelvis

    • Blood vessels running longitudinally

    • Haemorrhage control

    • Path of major vessels

    • Nerves run longitudinally

    • Pelvic fractures

    • Circulatory compromise

    • Mechanism localised pain

    • Bilateral insult

    • Fractures subtle in presentation

    • Pre- and post assessment of the limb

    • Box splints and vacuum mattresses

    • Traction splints for femurs

    • Pelvic splints

    • Points in the patient’s journey when BP falls?

    • Anatomical alignment in pelvic splints

    • Application of pelvic splints

    • Pelvic splint buckle

    • Open ankle fracture

    • Ankle

    • Knee

    • Shoulder dislocation

    • Pain management strategies

    • Step wise process

    • Pros and cons

    • Antibiotics

    • Hypothermia

    • Tranexamic acid

    • Fracture management principles

    • Summary

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