scholarly journals Pelvic binder

2020 ◽  
Author(s):  
Andrew Murphy ◽  
Balint Botz
Keyword(s):  
Pelvic Binder

Identifying risk factors for suboptimal pelvic binder placement in major trauma

Injury ◽  
2020 ◽  
Vol 51 (4) ◽  
pp. 971-977
Author(s):  
F. Williamson ◽  
L.G. Coulthard ◽  
C. Hacking ◽  
P. Martin-Dines
Keyword(s):  
Risk Factors ◽  
Major Trauma ◽  
Pelvic Binder

Military experience in the management of pelvic fractures from OIF/OEF

2020 ◽  
pp. bmjmilitary-2020-001469
Author(s):  
William Parker ◽  
R W Despain ◽  
J Bailey ◽  
E Elster ◽  
C J Rodriguez ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Pelvic Fracture ◽  
External Fixator ◽  
Injury Severity ◽  
Fracture Pattern ◽  
Injury Pattern ◽  
Pelvic Fractures ◽  
Vertical Shear ◽  
Treatment Modalities ◽  
Pelvic Binder

IntroductionPelvic fractures are a common occurrence in combat trauma. However, the fracture pattern and management within the most recent conflicts, i.e. Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), have yet to be described, especially in the context of dismounted complex blast injury. Our goal was to identify the incidence, patterns of injury and management of pelvic fractures.MethodsWe conducted a retrospective review on all combat-injured patients who arrived at our military treatment hospital between November 2010 and November 2012. Basic demographics, Young-Burgess fracture pattern classification and treatment strategies were examined.ResultsOf 562 patients identified within the study time period, 14% (81 of 562) were found to have a pelvic fracture. The vast majority (85%) were secondary to an improvised explosive device. The average Injury Severity Score for patients with pelvic fracture was 31±12 and 70% were classified as open. Of the 228 patients with any traumatic lower extremity amputation, 23% had pelvic fractures, while 30% of patients with bilateral above-knee amputations also sustained a pelvic fracture. The most common Young-Burgess injury pattern was anteroposterior compression (APC) (57%), followed by lateral compression (LC) (36%) and vertical shear (VS) (7%). Only 2% (nine of 562) of all patients were recorded as having pelvic binders placed in the prehospital setting. 49% of patients with pelvic fracture required procedural therapy, the most common of which was placement of a pelvic external fixator (34 of 40; 85%), followed by preperitoneal packing (16 of 40; 40%) and angioembolisation (three of 40; 0.75%). 17 (42.5%) patients required combinations of these three treatment modalities, the majority of which were a combination of external fixator and preperitoneal packing. The likelihood to need procedural therapy was impacted by injury pattern, as 72% of patients with an APC injury, 100% of patients with a VS injury and 25% of patients with an LC injury required procedural therapy.ConclusionsPelvic fractures were common concomitant injuries following blast-induced traumatic lower extremity amputations. APC was the most common pelvic fracture pattern identified. While procedural therapy was frequent, the majority of patients underwent conservative therapy. However, placement of an external fixator was the most frequently used modality. Considering angioembolisation was used in less than 1% of cases, in the forward deployed military environment, management should focus on pelvic external fixation±preperitoneal packing. Finally, prehospital pelvic binder application may be an area for further process improvement.

Musculoskeletal Trauma, Damage Control, and Pelvic Binder

2012 ◽  
pp. 1446-1451
Author(s):  
Denis D. Bensard ◽  
Philip F. Stahel ◽  
Jorge Cerdá ◽  
Babak Sarani ◽  
Sajid Shahul ◽  
...  
Keyword(s):  
Damage Control ◽  
Pelvic Binder ◽  
Musculoskeletal Trauma

Emergent Pelvic Binder Application in the Polytrauma Patient: Effect on Mortality

2014 ◽  
Vol 186 (2) ◽  
pp. 689
Author(s):  
H.H. Seidel ◽  
M.J. Pommerening ◽  
C.E. Wade ◽  
J.B. Holcomb ◽  
M. Kumaravel ◽  
...  
Keyword(s):  
Pelvic Binder ◽  
Polytrauma Patient

scholarly journals An assessment of pelvic binder placement at a UK major trauma centre

2018 ◽  
Vol 100 (2) ◽  
pp. 101-105 ◽  
Author(s):  
H Naseem ◽  
PD Nesbitt ◽  
DC Sprott ◽  
A Clayson
Keyword(s):  
Computed Tomography ◽  
Continuing Education ◽  
Retrospective Review ◽  
Major Trauma ◽  
Pelvic Ring ◽  
Trauma Centre ◽  
Pelvic Ring Injury ◽  
Pelvic Ring Injuries ◽  
Pelvic Binder ◽  
Major Trauma Centre

Introduction Pelvic binders are used to reduce the haemorrhage associated with pelvic ring injuries. Application at the level of the greater trochanters is required. We assessed the frequency of their use in patients with pelvic ring injuries and their positioning in patients presenting to a single major trauma centre. Methods A retrospective review of our trauma database was performed to randomly select 1000 patients for study from April 2012 to December 2016. Patients with a pelvic binder or a pelvic ring injury defined by the Young and Burgess classification were included. Computed tomography was used to identify and measure pelvic binder placement. Results 140 patients were identified: 110/140 had a binder placed. Of the total, 54 (49.1%) patients had satisfactory placement and 56 (50.9%) had unsatisfactory placement; 30/67 (44.8%) patients with a pelvic ring injury had no binder applied, of whom 6 (20%) had an unstable injury; 9/67 patients died. Discussion This is the first study assessing pelvic binder placement in patients at a UK major trauma centre. Unsatisfactory positioning of the pelvic binder is a common problem and it was not used in a large proportion of patients with pelvic ring injuries. This demonstrates that there is a need for continuing education for teams dealing with major trauma.

scholarly journals Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study

2017 ◽  
Author(s):  
Sheng-Der Hsu ◽  
Cheng-Jueng Chen ◽  
Yu-Ching Chou ◽  
Sheng-Hao Wang ◽  
De-Chuan Chan
Keyword(s):  
Cervical Spine ◽  
Emergency Management ◽  
Injury Severity ◽  
Trauma Team ◽  
High Energy ◽  
Pelvic Trauma ◽  
Pelvic Injury ◽  
Trauma Patients ◽  
Pelvic Binder ◽  
Trauma Score

Background: We aimed to evaluate the effect of early pelvic binder use in emergency management of suspected pelvic trauma, compared with the conventional stepwise approach. Methods: We enrolled trauma patients with initial stabilization using a pelvic binder for suspecting pelvic injury. Inclusion criteria were traumatic injury requiring a trauma team and at least one of the following: loss of consciousness or Glasgow coma score (GCS) < 13; systolic blood pressure < 90 mmHg; falling from ≥6 m; injury to multiple vital organs; and suspected pelvic injury. Various parameters, including gender, age, mechanism of injury, GCS, mortality, hospital stay, initial vital sign, revised trauma score, injury severity score, and outcome, were assessed and compared with historical controls. Results: A total of 204 patients with high-energy multiple-trauma from single level I trauma center in North Taiwan were enrolled in the study from August 2013 to July 2014. The two group baseline patient characteristics were all collected and compared. The trauma patients with suspected pelvic fractures initially stabilized with a pelvic binder had shorter hospital and ICU stays. The study group achieved statistically significantly improved survival and lower mean blood transfusion volume and mortality rate although they were more severe in the trauma score. Conclusions: We recommend prompt pelvic binder use for suspected pelvic injury before definitive imaging is available, as a cervical spine collar is used to protect the cervical spine from further injury prior to definitive identification and characterization of an injury.

scholarly journals Who does it better? Comparison of trauma care and pelvic binder use at two hospitals in wales

2015 ◽  
Vol 23 ◽  
pp. S111
Author(s):  
J. Clutton ◽  
L. Moulton ◽  
J. Organ ◽  
C. Carpenter
Keyword(s):  
Trauma Care ◽  
Pelvic Binder

scholarly journals THE “OPEN-SEAT” PELVIC BINDER

1909 ◽  
Vol 50 (4) ◽  
pp. 789-792
Author(s):  
SAMUEL E. NEWMAN
Keyword(s):  
Pelvic Binder ◽  
Open Seat
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