Benefit is decreased pain and to prevent further injury
Likely has similar efficacy to external fixation (without the additional 2 hours required for orthopedics to perform procedure)
Pelvic binding is unlikely to decrease pelvic bleeding (similar to external fixation)
Position binder at the level of the greater trochanters (not over the iliac crests)
Eliminate underlying gowns and underwear (risk of skin irritation, skin breakdown over bony prominences)
Leave in place until evaluation by Trauma surgery (unless interfering with critical procedure, abdominal access)
VII. Preparations: Devices
T-POD is a Pelvic Binder with pulley system
Caution against applying too much force
Velcro Pelvic Binder devices
Fold into width of ~20 cm and position as per technique described above
Rotate the sheet ends together
When adequate compression, tuck the ends under and secure with a towel clamp
Inaba and Herbert in Herbert (2014) EM:Rap 14(4): 10-11
Ringhauser (2019) Crit Dec Emerg Med 33(6): 19-25
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This page was written by Scott Moses, MD, last revised on 6/2/2019 and last published on 6/4/2020.