Why
- tamponade blood
(yet pelvis has space for a baby and a beer filled bladder)
- oppose bone ends and stop bleeding
Why not
There is no evidence that pelvic binders are harmful when applied to patients with proximal femur or acetabular fracture.
They can cause pressure necrosis
Depending on the mechanism, they may make the injury worse.
How
Strip patient - should be to skin
Analgesia
Roll patient to 15 degrees
Put folded binder underneath buttocks
Minimise patient movement - ideally they should be scooped on.
SAM Splint:
Feed black strap through the buckle
Pull black and orange in opposite directions
Tighten
Fasten
Pregnancy - should be OK if applied correctly
Good ResourcesPelvic binders. Do we slide up from knees to GTs, or tilt onto a folded binder? Can't find a consensus! #foamed @JGoulding444 @mattdoc1979
— Charlotte Davies (@OneLongPlait) November 3, 2015
https://phemcast.co.uk/2015/11/05/podcast-episode-2-the-pelvic-binder/
https://www.rcemlearning.co.uk/references/abdominal-trauma/
https://www.rcemlearning.co.uk/foamed/pelvic-fractures-a-guide-to-treatment-within-a-trauma-unit/
https://www.rcemlearning.co.uk/foamed/june-2017/#1496133043616-a1f3a145-a4a3
https://www.rcemlearning.co.uk/modules/blunt-trauma-to-the-abdomen-don’t-forget-the-kidneys/
http://emergencymedicineireland.com/2013/04/anatomy-for-emergency-medicine-027-basic-anatomy-of-abdomen-and-pelvic-trauma/
https://www.resus.com.au/2015/07/31/unstable-pelvic-fractures/
https://emj.bmj.com/content/30/12/1070
