Value of the G Suit in Patients With Severe Pelvic Fracture

Batalden, Daryl J.; Wickstrom, Per H.; Ruiz, Ernest; Gustilo, Ramon B.

doi:10.1001/archsurg.1974.01360020186036

Cited by 58 publications

(12 citation statements)

References 6 publications

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“…They are widely accepted and include a rapid evaluation, identification, and control of the source of major blood loss, as well as reduction and primary fixation of the pelvis. Because additional injuries require a more variable scheme of diagnostic and therapeutical approaches, the order of emergent treatments, the procedures of bleeding control, and the time point of pelvic fixation in multiple injured patients have been controversially discussed in the past [11,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Furthermore, the multidisciplinary approach which is used in many centers worldwide, may even increase the disagreements rather than providing a clear strategy to approach those patients.…”

Section: Introductionmentioning

confidence: 99%

Therapeutical Strategies and Outcome of Polytraumatized Patients with Pelvic Injuries A Six-Year Experience

Ertel¹,

Eid²,

Keel³

et al. 2000

Eur J Trauma

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Section: Introductionmentioning

confidence: 99%

Therapeutical Strategies and Outcome of Polytraumatized Patients with Pelvic Injuries A Six-Year Experience

Ertel¹,

Eid²,

Keel³

et al. 2000

Eur J Trauma

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“…This device also leads to acute pelvic ring stabilization and reduction. In Anglo-American countries it is accepted as a method of emergency treatment [1,12,16,20,40]. PASG provide an initial redistribution of blood from the limbs to the trunk and restrict expansion of the pelvic hematoma [2].…”

Section: Discussionmentioning

confidence: 99%

Emergency Treatment of Multiply Injured Patients with Unstable Disruption of the Posterior Pelvic Ring by Using the “C–Clamp”

Tiemann¹,

Böhme²,

Josten

2005

Eur J Trauma

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“…The reported skin-strap interface pressure of twenty-four millimeters of mercury is directly comparable to the inflation pressure of antishock garments, which typically ranges from twenty to thirty millimeters of mercury. Such garments can be left in place for up to forty-eight hours without causing adverse effects on skin viability (2).…”

Section: Discussionmentioning

confidence: 99%

“…Current treatment options for immediate pelvic stabilization include open reduction and internal fixation (ORIF) (32,35), closed reduction and percutaneous fixation (27), external fixation (25), posterior pelvic reduction clamps (13), inflatable pneumatic trousers (2), and circumferential wrapping of the pelvic region with a sheet or strap (28,34). All of these approaches exhibit potential problems in an emergent situation.…”

mentioning

confidence: 99%

Noninvasive Reduction of Open-Book Pelvic Fractures by Circumferential Compression

Bottlang

Simpson

Sigg

et al. 2002

Journal of Orthopaedic Trauma

134

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Objectives: To determine the efficacy and optimal application parameters of circumferential compression to reduce external rotation-type pelvic fractures. Design: Biomechanical investigation on human cadaveric specimens. Setting: Biomechanics laboratory. Intervention: Partially stable and unstable external rotation injuries of the pelvic ring (OTA classification 61-B1 and 61-C1) were created in seven human cadaveric specimens. A prototype pelvic strap was applied subsequently at three distinct transverse levels around the pelvis. Circumferential pelvic compression was induced by gradual tensioning of the strap to attempt complete reduction of the symphysis diastasis. Main Outcome Measurements: Pelvic reduction was evaluated with respect to strap tension and the strap application site. The effect of circumferential compression on intraperitoneal pressure and skin-strap interface pressure was measured.Results: A successive increase in circumferential compression consistently induced a gradual decrease in symphysis diastasis. An optimal strap application site was determined, at which circumferential compression most effectively yielded pelvic reduction. The minimum strap tension required to achieve complete reduction of symphysis diastasis was determined to be 177 ± 44 Newtons and 180 ± 50 Newtons in the partially stable and unstable pelvis, respectively. Conclusions: Application of circumferential compression to the pelvic soft tissue envelope with a pelvic strap was an efficient means to achieve controlled reduction of external rotation-type pelvic fractures. This study derived application parameters with direct clinical implication for noninvasive emergent management of traumatic pelvic ring disruptions.

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Value of the G Suit in Patients With Severe Pelvic Fracture

Cited by 58 publications

References 6 publications

Therapeutical Strategies and Outcome of Polytraumatized Patients with Pelvic Injuries A Six-Year Experience

Therapeutical Strategies and Outcome of Polytraumatized Patients with Pelvic Injuries A Six-Year Experience

Emergency Treatment of Multiply Injured Patients with Unstable Disruption of the Posterior Pelvic Ring by Using the “C–Clamp”

Noninvasive Reduction of Open-Book Pelvic Fractures by Circumferential Compression

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