List Archives

Tue Mar 10 17:24:26 GMT 2009

First understand the data
These devices close the pelvic fracture, however there is NO data that shows that they control hemorrhage. The answer to your question is based on your need. 
Why were they applied?
Is  that outcome needed and
beneficial for the patient
Does the data support it's use?

Typed by the thumbs of
Norman on his BlackBerry 

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

----- Original Message -----
From: trauma-list-bounces at trauma.org <trauma-list-bounces at trauma.org>
To: trauma-list at trauma.org <trauma-list at trauma.org>
Sent: Tue Mar 10 12:03:18 2009
Subject: Prehospital pelvic compression

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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Prehospital pelvic compression