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Thu Oct 30 18:59:45 GMT 2008

OK that sounds great. Now all we need is for the study to be done that
proves the device works vs nothing at all. I remember loud cries about
the lack of effectiveness of the PASG (when more than 300 articles exist
that addresses some form of it). It was the Mattox study that put it
into prospective. As I remember based on this study almost all of the
EMS services in the US stopped using the PASG. Now I guess we need that
kind of study to be done with the pelvic device to see if it is
worthwhile or not.

Norman

Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Dr Timothy
Hardcastle
Sent: Thursday, October 30, 2008 1:25 PM
To: Trauma &amp; Critical Care mailing list
Subject: RE: Fwd: Pelvic fractures

> My concern is that there are no studies that demonstrate ANY altered
> outcome on the patients who arrive in the ED with a simple pelvic
> fracture. Would they not be just as well off if nothing was applied?
If
> someone has data on these patients, please identify them to me.
>
> Norman

Norm

These are not in need of anything - the only pelvic fractures that may
benefit from intervention are those with significant bleeding and for
most
of these restoration of the pelvic ring does the trick. Some will also
benefit from extra-peritoneal pelvic packing. The treatment of bleeding
is
to stop the bleeding - what ever way works

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service

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Fwd: Pelvic fractures