II. Indications

  1. Pelvic Fracture (with diastasis) immediate stabilization

III. Advantages

  1. Benefit is decreased pain and to prevent further injury
  2. Likely has similar efficacy to external fixation (without the additional 2 hours required for orthopedics to perform procedure)

IV. Disadvantages

  1. Pelvic binding is unlikely to decrease pelvic bleeding (similar to external fixation)

V. Technique

  1. Position binder at the level of the greater trochanters (not over the iliac crests)
  2. Eliminate underlying gowns and underwear (risk of skin irritation)
  3. Leave in place until evaluation by Trauma surgery (unless interfering with critical procedure, abdominal access)

VI. Preparations: Devices

  1. T-POD is a Pelvic Binder with pulley system
    1. Caution against applying too much force
  2. Velcro Pelvic Binder devices
  3. Bed sheet
    1. Fold into width of ~20 cm and position as per technique described above
    2. Rotate the sheet ends together
    3. When adequate compression, tuck the ends under and tie with a clamp

VII. References

  1. Inaba and Herbert in Herbert (2014) EM:Rap 14(4): 10-11

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