---

I presume in most cases when you are suspecting pelvic trauma the patient is likely to come on a long spinal board(as he will be suspected of having spinal tauma as well).If patient is not on the spinal board then i would jusy wrap the pelvis in a blanket and the recent evidence even against doing any manuiplualtions(what we might do by doing these blanket wrapping).There are lot new devices(all fancy American) but still not widely avaiable to use.If patient is on spinal board then the transfering is very easy as you know.I think most of the trauma series xrays can be done in trauma/resus room with portable device(which will avoid unnecessary transfering.

I agree with you that irrespective of suspected pelvic trauma pt needs log roll and that should not be delayed under any circumstances as it is essential part of secondary survery.

Yes PR is is part of pelvic assessment.Any blood in the rectum with a proven pevlic fracture is compound fracture and the patient needs washout and colostomy(joint care of ortho and gen surgeons).