Radiology ReviewDecember, 2008
A 38-year-old woman is brought emergently to your facility following a single-vehicle collision. She was the driver and apparently lost control of the car; EMS personnel reported a long extrication time.
Upon arrival, the patient has a blood pressure of 95/40 mm Hg and a heart rate of 95 beats/min. Her Glasgow Coma Scale score is 12 to 13. Primary survey shows obvious extensive facial fractures, as well as a right distal femur fracture. She is not actively following commands and is becoming increasingly combative; hence, she is electively intubated to protect her airway.
Preliminary radiographs are obtained, and a portable pelvis view is shown.