|Other names: Pelvic immobilization, trochanteric binder, pelvic circumferential compression device, SAM sling|
|Example of using a sheet and cable ties to bind a pelvis.|
|Indications||Instability or significant pelvic pain following trauma|
|Steps||1) Place a folded sheet crosswise on the bed at the level of the pelvis before patient arrives|
2) Cross the sheet over the upper femurs and apply slight traction
3) Fix the two halves with cable ties
4) Tape the toes together
A pelvic binder is a device used to compress the pelvis in people with a pelvic fracture in an effort to stop bleeding. While this fracture generally require significant forces in the young, in the elderly it may occur with low energy forces. Pelvic binding is recommended as soon as the fracture is considered.
Preparation involves placing a folded sheet crosswise on the bed, at the level of the pelvis, before a trauma patient arrives. If concerns of an unstable pelvis is present, the sheet is crossed over the upper femurs, some traction is applied, and cable ties are used to hold the two sides together. Application requires at least two people. The toes are than tapped together.
If the person remains unstable, embolization or damage control surgery with preperitoneal packing may be required. Periodic checking of the skin is recommended to rule out signs of skin ulceration. Prolonged use is not recommended. This technique is relatively commonly used.
A pelvic binder is used to reduce bleeding after a pelvic fracture. It is recommended for an open book pelvic fracture. It might not be useful in people with lateral compression pelvic fractures.
The sheet should be thin and folded until 20 cm wide, than placed crosswise at the level of the pelvis.
It should than be folded across the person at the level of the greater trochanters and pulled snugly. The two side are than attached together with either cable ties or clamps. Cable ties are preferred as they will not obscure medical imaging. The toes should also be tapped together.
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