Determine if pelvic binders are being used appropriately in the pre hospital setting
All trauma series radiographs and computed axial tomography (CT) scans January 2007 to December 2009 Reviewed by: Specialist Registrar (2 nd Year) Consultant Trauma & Orthopaedic Surgeon
Following data points collected Presence and type of pelvic injury– classified per AO guidelines Presence of a pelvic binder and if applicable, its position Whether the pelvic binder was appropriate for the injury or potential to cause harm Krieg JC, Mohr M, Ellis TJ, Simpson TS, Madey SM, Bottlang M: Emergent stabilization of pelvic ring injuries by controlled circumferential compression: A clinical trial. J Trauma 2005;59:659-664
76 cases 33 Pelvic injury No binder 16 Pelvic injury Binder 27 No Pelvic injury Binder
Pelvic binders applied in the pre hospital phase Placed in the correct position 36/43 (84%) Clinical examination on scene poorly discriminates on injuries needing a binder Binder applied 43 times 27 (63%) No pelvic injury 16 (37%) Pelvic injury BUT only needed in 3 (7%) 6 (14%) Potential for harm
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