
WEIGHT: 47 kg
Breast: E
One HOUR:70$
NIGHT: +100$
Sex services: Fetish, Massage, Facial, Uniforms, Ass licking
On arrival, you find a year-old male lying on the highway 40 feet from his motorcycle, wearing a helmet and body gear. His breathing is fast and shallow. A radial pulse is barely palpable and his skin is cool and pale. The responding engine company prepares for packaging as you and your partner complete your rapid trauma assessment, obtain vital signs and prepare for transport. This is especially true in elderly patients.
Pelvis Anatomy The pelvis is a ring-shaped bony structure consisting of the sacrum, coccyx, and three innominate bones: the ilium, ischium and pubis.
The innominate bones join to form the acetabulumβthe socket in which the head of the femur sits to form the hip joint. The joint between the sacrum and ilium sacroiliac joint, or SI joint is the strongest joint in the body, and the pubic symphysis is the weakest link in the pelvic ring.
See Figure 1 below. The strength and stability of the pelvis is a result of several ligaments that connect the sacrum to the other pelvic bones, and potentially dangerous pelvic instability can result when these ligaments are disrupted. The primary organs lying within the pelvis are the bladder, rectum, anal canal and urethra, along with the prostate in males and the uterus and vagina in females. Also contained within the pelvis is a vast array of blood vessels, nerves and internal organs.
When trauma causes pelvic instability or a fracture, injury to the large network of arteries and thin-walled veins that lie anterior to the sacrum can cause severe internal hemorrhage. Injury to nerve roots, which course through the pelvis, can result in bowel, bladder and sexual dysfunction. Potential risks of missing an occult pelvic injury outweigh the risks or complications associated with pelvic binding.