Prehospital pelvic compression

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Hello!
I have a question to all of you regarding the use of prehospital pelvic binders. I work at a small hospital where we dont have access to x-ray of the pelvis in the traumaroom. Currently the prehospital personel applies the TPOD (pelvic binder) in the prehospital setting whenever they suspects a pelvic fracture. The TPOD is often placed before removing the patients cloths. This approach interferes the examination of the patient in the traumaroom because when the pelvic divice is applied prehospital every one is afraid of removing it with the fear of bleeding. Since we dont have acces to plain x-ray in the traumaroom we often leave the TPOD until the trauma-ct is done and we have  pictures. The tpod also makes it difficult to remove the patients clothes and sometimes makes it impossible to make a good examination of the lower back, perineum/rectum. How would yo approach this matter?

Johan

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