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
Images: Related links to external sites (from Bing)
These images are a random sampling from a Bing search on the term "Pelvic Binder." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images
FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6811 interlinked topic pages divided into a tree of 31 specialty books and 736 chapters. Content is updated monthly with systematic literature reviews and conferences.
Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.
This page was written by Scott Moses, MD, last revised on 6/2/2019 and last published on 9/2/2020.