Circumferential Pelvic Antishock Sheeting: A Temporary Resuscitation Aid

Routt, Chip M. L.; Falicov, Alexis; Woodhouse, Emma; Schildhauer, Thomas A.

doi:10.1097/00005131-200201000-00010

Cited by 116 publications

(29 citation statements)

References 23 publications

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“…Staff working in trusts that did not have these available indicated they used bed sheets secured with cable ties, tape or artery clips in order to provide pelvic compression and stability. Whereas this technique has been well described [13], it does not allow the applied reduction force to be controlled to a predetermined level [14] and is less effective in reducing symphyseal diastasis in open-book injuries when compared with pelvic binders [15]. Also, a narrow sheet may increase the risk of developing pressure sores when compared with a commercially available binder.…”

Section: Discussionmentioning

confidence: 99%

A national survey of United Kingdom trauma units on the use of pelvic binders

Jain

Bleibleh

Marciniak

et al. 2013

International Orthopaedics (SICOT)

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Purpose Major pelvic injuries resulting from high-energy trauma require emergency hospital treatment, and part of the initial management includes mechanical stabilisation of the pelvis. Controversies include binder position, use in lateral compression injuries and application during radiological assessment. We present the results of a survey of both emergency department and orthopaedic specialties. Methods A telephone survey of all 144 trauma units in the UK accepting adult pelvic trauma patients was carried out in July 2012. The duty registrar for the emergency and orthopaedic departments was contacted and asked to complete a questionnaire. Results A response rate of 100 % was achieved. Pelvic binders were available for use in approximately three quarters of the trauma units surveyed. Eight-five emergency department (59 %) and 79 orthopaedic (54.9 %) registrars had been given training on pelvic binder application. Fiftysix emergency department (38.9 %) and 114 orthopaedic (79.1 %) registrars identified the level of the greater trochanters as the most suitable position for the binder. Forty-five emergency department (31.3 %) and 58 orthopaedic (40.3 %) registrars used pelvic binders in suspected lateral compression injuries. One hundred and twenty-six emergency department (87.5 %) and 113 orthopaedic (78.5 %) registrars would not release the binder during radiological assessment of the pelvis in a haemodynamically stable patient.

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Section: Discussionmentioning

confidence: 99%

A national survey of United Kingdom trauma units on the use of pelvic binders

Jain

Bleibleh

Marciniak

et al. 2013

International Orthopaedics (SICOT)

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“…To reduce this burden, reduction and stabilization are considered resuscitative measures [43] and fixation of unstable LC fractures has been advocated. In dealing with pelvic trauma, thorough knowledge of pelvic anatomy, fracture mechanism/pattern, and stabilization techniques is necessary [10].…”

Section: Discussionmentioning

confidence: 99%

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

Hoffmann¹,

Jones

Sietsema

2012

Clinical Orthopaedics &Amp; Related Research

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Background Recently, fixation of lateral compression (LC) pelvic fractures has been advocated to improve patient comfort and to allow earlier mobilization without loss of reduction, thus minimizing adverse systemic effects. However, the degree of acceptable deformity and persistence of disability are unclear. Questions/purposes We determined if (1) injury pattern; (2) demographics; (3) final posterior displacement; (4) L5/ S1 involvement; (5) associated injuries; and (6) time influence outcome measurements, sexual dysfunction, and pain.

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“…It is evident that in this group the main, preventable cause of death is hemorrhage and late complications of shock constituted the principal cause of death (32). Thus, the control of bleeding by any means necessary, appears to be the basic and most important element of the management in theese patients (33,34). Trauma surgeon should be aware that hemorrhage is not always a result of extensive organ or large vessel injuries (35).…”

Section: Discussionmentioning

confidence: 99%

Multicenter Study of Optimal Management Strategy in Severe Multiple Trauma

Brongel¹,

Lasek²,

Karski³

et al. 2009

Polish Journal of Surgery

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the aim of the study. The development of a triage system to implement proper treatment based on severity of injury. Material and methods. The study is based on material from three Polish Universities' trauma departments: Cracow, Lublin, and Gdańsk. Using trauma scales, 300 of the most severely injured multiple trauma (MT) patients from 2000-2004 have been chosen for this study. Medical documentation was carefully analysed, particularly the time and extent of the surgical procedures performed as well as their potential to influence later results. Results. There are three groups of patients: 1 -critically injured, with an ISS>50, LSo>15, RTS 3 pts, two body cavity involvement, multiple long bone and/or pelvis fractures. only damage control was allowed and the definitive treatment necessary was within 48 hours. 2 -severely injured, with an unstable ISS 35-50, LSo 10-15, RTS 4-10 pts, one body cavity involvement, multiple long bone and/or pelvis fractures. Life-saving operations were possible with orthopaedic management (within 48 hours) provided using the "2+2 rule" (less than 2 hours of operation and no more than 2 units of blood transfused). 3 -moderately injured, with a stable ISS<35, LSo<10, RTS>10 pts, one body cavity involvement, a long bone or pelvis fracture. Classic surgical and orthopaedic management occurred within 48 hours. Conclusions. The history and course of post-traumatic syndrome from metabolic, immune and endocrine viewpoints requires a special strategy for repairing life -threatening trauma injures at the right time, in proper sequence, and with limited surgical activity in more severe cases. Key words: multiple trauma, damage control, inflammatory response, emergency thoracotomy, abbreviated laparotomy Despite considerable progress in medical sciences and profound changes in the organization of emergency services within the past quarter of a century, severe multiple trauma continues to be a major problem in traumatology with the associated mortality rates exceeding 10% in the best centers worldwide. According to recent reports, the most common causes of posttraumatic deaths in hospitals (>30-50% of all fatal outcomes) are late complications of a severe traumas and post-traumatic shock, including septic complications and multi-organ failure (MoF). Severe primary injuries of the central nervous system and exsanguinations continue to be the main causes of death (50-70%), at the site of the accident, in an ambulance (i.e. in the pre-hospital period), and during the first hours of hospitalization (1).Thus, we are witnessing continued progress in reaching the injured victims as quickly as Unauthenticated Download Date | 5/11/18 3:46 AM

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Circumferential Pelvic Antishock Sheeting: A Temporary Resuscitation Aid

Cited by 116 publications

References 23 publications

A national survey of United Kingdom trauma units on the use of pelvic binders

A national survey of United Kingdom trauma units on the use of pelvic binders

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

Multicenter Study of Optimal Management Strategy in Severe Multiple Trauma

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