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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

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Figure 2: Open book pelvic fracture. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room. Note the significant diastasis of the pubic symphysis. An x-ray in the trauma bay demonstrated an AP grade III fracture.

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