The large pelvic bones (sometimes called hipbones) and the lower bone of the spinal column together make up the bony structure known as the PELVIS. The joint between the thighbone (the long bone of the upper part of the leg) and the pelvic bone is call the HIP JOINT. Fractures in the pelvic region often result from falls, heavy blows, and accidents that involve crushing. The greatest danger in any pelvic fracture is that the organs enclosed and protected by the pelvis may be seriously damaged when the bony structure is fractured. In particular, there is danger that the bladder is ruptured. There is also danger of severe internal bleeding, because the large blood vessels in the pelvic region maybe tom or cut by fragments of the broken bone.

The primary symptoms of a fractured pelvis are severe pain, shock, and loss of ability to use the lower part of the body. The victim is unable to sit or stand. If conscious, the victim may feel as though his body is "coming apart." When the bladder is injured, the victim's urine may be bloody.

TREATMENT. Do not move the victim unless ABSOLUTELY necessary. Treat the victim for shock Keep him comfortably warm. Do not attempt to place the victim in the shock position, as this may produce futher damage internally. When you must transport the victim to another place, handle him with the utmost care. Use a rigid stretcher, a padded door, or a wide board. Keep the victim lying on his back with his faceup. In some cases, the victim will be more comfortable when his legs are straight. In other cases, the victim will be more comfortable with his knees bent and his legs drawn up. After you have placed the victim in the most comfortable position, immobilize him by placing bandages around his legs at the knees and ankles. Then place a pillow beside each hip and fasten each pillow securely with bandages or pieces of cloth. Finally, fasten the victim securely to the stretcher or improvised support, and obtain medical help immediately.