Pelvic binder
| Pelvic binder | |
|---|---|
| File:PelvicBinding.webm Example of using a sheet and cable ties to bind a pelvis. | |
| Specialty | {{#Statements:p1995}} |
A pelvic binder is a device used to compress the pelvis in people with a pelvic fracture in an effort to stop bleeding.[1]
Uses
[edit | edit source]A pelvic binder is used to reduce haemorrhage after a pelvic fracture.[2] It is used in the majority of patients where a ring fracture to the pelvis is suspected by paramedics or physicians.[2] A pelvic binder is recommended for open book pelvic fractures.[3] It might not be useful in people with lateral compression pelvic fractures.[3]
A pelvic binder can be applied by paramedic before a patient reaches hospital, or by physicians and nurses when a patient is seen in an emergency department.[2] It should only be used short term.[1]
Complications
[edit | edit source]Complications of a pelvic binder can include skin ulceration if it is applied for too long.[1] Pelvic binders may be applied incorrectly in around 50% of patients.[2][4]
Technique
[edit | edit source]A pelvic binder should be placed over the upper femurs, specifically the greater trochanters.[1][2] This is the best position to reduce diastasis symphysis pubis.[5] A CT scan can be used to observe the effective placement of a pelvic binder.[2] A bed sheet may be used as part of a pelvic binder.[1]
A pelvic binder compresses pelvic structures.[2] This encourages any blood in the pelvic cavity to clot, reducing any further bleeding.[6] It also stabilises the pelvis.[2]
References
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