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Wed Mar 11 16:52:57 GMT 2009

Where is the rational or evidence that the binder applied in the
pre-hospital setting is really of any use? Why should you be afraid of
removing the binder in a controlled setting (even if it is a small
hospital)? In any case taking an x-ray even if it is not in the trauma room
dosen't take hours! Maybe this protocol(?) should be discussed with who has
enforced it.
Peter

-----Messaggio originale-----
Da: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
Per conto di johan.svensson at lthalland.se
Inviato: martedì 10 marzo 2009 18.03
A: trauma-list at trauma.org
Oggetto: 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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R: Prehospital pelvic compression