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Tue Mar 10 21:34:17 GMT 2009

My impression was that they allow one to prevent the pelvis opening 
up(increasing the volume as it is proportional to the diameter) and help 
control the volume of space available for blood to flow into, thus leading 
to a tamponade effect.It is not to actively control bleeding per se.

K.R.Rajesh FRCS,FRCS(Orth)
Staff Specialist (Ortho)
Bega
NSW
----- Original Message ----- 
From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
To: <trauma-list at trauma.org>
Sent: Wednesday, March 11, 2009 4:24 AM
Subject: Re: Prehospital pelvic compression

> 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