The consequences of getting out of bed early due to pelvic fracture

A fracture is a break or shattering caused by external force. Fractures can occur anywhere there are bones in our body. Pelvic fracture is a relatively serious fracture. It requires slow recovery after treatment, and normal life can be resumed only after recovery. The consequences of getting out of bed too early due to a pelvic fracture are very serious and may cause massive internal bleeding, leading to shock or even death. Therefore, it is very important to take good care of the fracture and strive for recovery.

Nursing care for pelvic fractures

1. Maintain according to the usual orthopedic maintenance practices.

2. Within 24-48 hours after the patient is injured, closely observe changes in vital signs and measure them every 30 minutes to 1 hour if necessary. If the patient shows symptoms of shock such as pale face, cold sweats, poor peripheral blood circulation, weak pulse, and indifferent expression, report to the doctor immediately and give anti-shock care in time.

3. Closely observe the patient to see if he/she has abdominal pain or worsening abdominal pain or symptoms of acute peritonitis. Observe the anus for pain, bleeding or tenderness. If any abnormality is found, report it to the doctor in time.

4. Pay attention to observe whether there is subcutaneous bleeding. If so, mark its scale on the skin and observe the progress of bleeding.

5. Pay attention to changes in urine volume and color, place a urinary catheter as directed by the doctor, and keep it clear, and record the nature, volume and color of urine regularly.

6. To prevent fracture displacement, do not move the patient or change the body position at will. The patient needs to rest in bed for 2-6 weeks depending on the condition, and pay attention to prevent bedsores.

7. For those who use pelvic suspension traction, the sling should be flat, dry and intact, and the bony protrusions should be maintained with cotton pads or massaged with alcohol to prevent pressure sores.

8. Prevent constipation, keep the patient's bowel movements smooth, encourage the patient to drink more water, eat more fruits and vegetables, and give laxatives when necessary.

9. Discharge counseling is the same as that of orthopedic department.

Pelvic fractures usually cause heavy bleeding and are often accompanied by shock. When admitted to the emergency department, the condition is acute and changes rapidly. The receiving personnel should first cooperate with the rescue quickly, agilely and calmly, measure blood pressure and pulse in time to determine the condition, and inform the doctor based on the patient's relevant situation to let the professional doctor develop a reasonable plan.

During traction treatment, the patient's body position, traction weight, and limb abduction angle should be observed to ensure the traction effect, and the positions of the patient's trunk, pelvis, and affected limb should be observed in conjunction. The torso should be straightened, the pelvis should be aligned, and the spine and pelvis should be straight. At the same time, we should pay attention to listening to the patient's main complaints, such as pain in traction needle, numbness of traction limbs, weakness in foot dorsiflexion, etc., to be alert to ischemic cramps caused by circulatory disorders, or foot drop caused by compression of the common extremity nerve.