Man With Crush Injury

Abstract

A healthy 54-year-old man presented to the emergency department after sustaining a truncal crush injury from a large amount of rock. He had a blood pressure of 65/42 mm Hg and a pulse rate of 116 beats/min. The emergency physician performed an abdominal ultrasound and then performed an ultrasound of the pubic symphysis (Figure 1 and Video E1 [available at http://www.annemergmed.com]). A pelvic binder was then placed, and the results were confirmed with both plain imaging (Figure 2) and computed tomography (Figure 3).