Christopher
Forum Deputy Chief
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h/t to the HURT Registry Blog for this (the great stuff is in bold):
Scott I, Porter K, Laird C, et al."The Prehospital Management of Pelvic Fractures : Initial Consensus Statement" Emerg Med J 2013; 30:1070-1072.
1) A pelvic binder is a treatment intervention rather than a packaging intervention and should be applied early.
2) A select group of patients may not need a binder.
3) No one pelvic binder device can currently be recommended over another.
4) Adequate training must be provided to avoid misplacement of devices.
5) Associated femoral fractures should also be reduced.
6) Patients should not be log rolled or transported on a spinal board.
7) The use of pelvic binders is associated with the risk of low pressure skin necrosis.
8) The pelvic binder should be placed next to skin.
9) A pelvic binder should be applied prior to extrication.
Check out Derek's blog post for the full details.
Scott I, Porter K, Laird C, et al."The Prehospital Management of Pelvic Fractures : Initial Consensus Statement" Emerg Med J 2013; 30:1070-1072.
1) A pelvic binder is a treatment intervention rather than a packaging intervention and should be applied early.
2) A select group of patients may not need a binder.
3) No one pelvic binder device can currently be recommended over another.
4) Adequate training must be provided to avoid misplacement of devices.
5) Associated femoral fractures should also be reduced.
6) Patients should not be log rolled or transported on a spinal board.
7) The use of pelvic binders is associated with the risk of low pressure skin necrosis.
8) The pelvic binder should be placed next to skin.
9) A pelvic binder should be applied prior to extrication.
Check out Derek's blog post for the full details.