North Carolina EMT State Practice Exam

What is the correct technique for performing a pelvic assessment?

1. Upward and outward pressure on the pelvis

2. Downward and inward pressure on the iliac crests

3. Assessment while the patient is sitting

4. Palpation of the abdomen

The correct answer is: Downward and inward pressure on the iliac crests

The technique for performing a pelvic assessment involves applying downward and inward pressure on the iliac crests. This method is crucial for evaluating the stability of the pelvis, particularly in trauma cases, as it helps to identify any potential fractures or instability in the pelvic ring. By exerting this specific pressure, you can ascertain whether the pelvis is intact or if there are any signs of injury, such as pain or abnormal movement. In contrast, applying upward and outward pressure on the pelvis might not provide an accurate assessment of stability or injury. Conducting the assessment while the patient is sitting is not advisable, as this position may not allow for a thorough examination of the pelvis. Finally, palpation of the abdomen, while useful in other assessments, does not specifically evaluate the pelvic structure or any potential deformities or fractures of the pelvic area. Thus, the recommended technique focuses directly on the iliac crests to ensure a proper and effective evaluation.