1. By Patrick Nicol By Patrick Nicol. 3rd year medical student Queens.

2. X-Ray detectable tag Application history label Pull tab Pulley system The pulley system allows easy simultaneous circumferential compression of the pelvis. By Patrick Nicol. 3rd year medical student Queens.

3.  Reduce haemorrhage from bone ends and venous disruption.  Reduce pain and movement during transfer.  To provide some integrity to the pelvis.  To provide stabilization of the pelvis until definitive stabilization can be achieved. By Patrick Nicol. 3rd year medical student Queens.

4. Pre-applicationPost-application. By Patrick Nicol. 3rd year medical student Queens.

5.  If the radius of a truncated cone increases even slightly as seen in a pelvic fracture the volume of the cone or pelvis increases substantially. By Patrick Nicol. 3rd year medical student Queens. R1 R2 h R1=4.5 R2=2 h=5 v=174 R1=6 R2=4 h=5 v=398 This increase in volume allows for a substantial increase in the amount of blood lost into the pelvis.

6. Slide the belt under the patient in the supine position. The iliac crest should be aligned with the upper edge of the belt. Level of iliac crest. Or align the centre of the belt with the greater trochanters By Patrick Nicol. 3rd year medical student Queens.

7. Fold or trim the belt to leave a gap of roughly 4-6 inches each side of the midline. By Patrick Nicol. 3rd year medical student Queens.

8. Apply the pulley device using the Velcro to the belt By Patrick Nicol. 3rd year medical student Queens.

9. Pull the tab towards yourself until the belt is closed in the middle and can not be pulled any tighter. By Patrick Nicol. 3rd year medical student Queens.

10. Once pulled tight lock and secure the tab using the Velcro under the tab and the locking hooks around the pulley system. By Patrick Nicol. 3rd year medical student Queens.

11.  Record the time the device was applied using the application history label.  Assess the patient for any on-going pain and adjust the device if necessary. By Patrick Nicol. 3rd year medical student Queens.

12.  The pelvic binder can be found within the bleeding drawer of the A&E resuscitation room.  It is found with the tourniquet and other anti- haemorrhage devices. By Patrick Nicol. 3rd year medical student Queens.