Darryl A Auston1, Bruce R Simpson1. 1. Department of Orthopedic Surgery, SUNY Upstate Medical University, 750 East Adams Street, Suite 4400, Syracuse, NY 13210.
Abstract
CASES: Three hemodynamically stable patients with displaced acetabular fractures were treated with commercially available pelvic binders after blunt trauma. In two of the patients, placement of the binder corresponded with transfer from a community hospital to a tertiary care facility. CONCLUSION: The pelvic binder is an increasingly utilized portable device that can provide lifesaving tamponade in patients with hemodynamically unstable pelvic injuries. However, incorrect application of the device may expose patients to unnecessary morbidity. This report demonstrates the need to establish appropriate guidelines and provide training for first responders and community physicians who are likely to encounter these fractures in the acute setting.
CASES: Three hemodynamically stable patients with displaced acetabular fractures were treated with commercially available pelvic binders after blunt trauma. In two of the patients, placement of the binder corresponded with transfer from a community hospital to a tertiary care facility. CONCLUSION: The pelvic binder is an increasingly utilized portable device that can provide lifesaving tamponade in patients with hemodynamically unstable pelvic injuries. However, incorrect application of the device may expose patients to unnecessary morbidity. This report demonstrates the need to establish appropriate guidelines and provide training for first responders and community physicians who are likely to encounter these fractures in the acute setting.