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Amit Gupta, Andrew Cook, Lee Van Rensburg
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Determine if pelvic binders are being used appropriately in the pre hospital setting
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All trauma series radiographs and computed axial tomography (CT) scans January 2007 to December 2009
Reviewed by: Specialist Registrar (2nd Year) Consultant Trauma & Orthopaedic Surgeon
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Following data points collected Presence and type of pelvic injury– classified per
AO guidelines Presence of a pelvic binder and if applicable, its
position Whether the pelvic binder was appropriate for the
injury or potential to cause harm
Krieg JC, Mohr M, Ellis TJ, Simpson TS, Madey SM, Bottlang M: Emergent stabilization of pelvic ring injuries by controlled circumferential compression: A clinical trial. J Trauma 2005;59:659-664
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76 cases
33Pelvic injury No binder
16Pelvic injury
Binder
27No Pelvic injury
Binder
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A-14 B-32
C-3
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Correct position level of greater trochanter 43 cases binder applied
irrespective of indication
Correct position36
Incorrect position7
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3 Appropriate
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5 caseswould have significantly benefited from a binder
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6 of 43 cases a binder was applied had potential for injury
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Pelvic binders applied in the pre hospital phasePlaced in the correct position 36/43 (84%)Clinical examination on scene poorly discriminates on injuries needing a binder
Binder applied 43 times 27 (63%) No pelvic injury 16 (37%) Pelvic injury BUT only needed in 3 (7%) 6 (14%) Potential for harm
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