Emergency Stabilization: Pelvic Binder

2020 ◽  
pp. 135-140
Author(s):  
Axel Gänsslen ◽  
Jan Lindahl ◽  
Bernd Füchtmeier
Keyword(s):  
Pelvic Binder ◽  
Emergency Stabilization

scholarly journals Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Christof K. Audretsch ◽  
◽  
Daniel Mader ◽  
Christian Bahrs ◽  
Alexander Trulson ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Fracture Dislocation ◽  
Severe Bleeding ◽  
Bleeding Control ◽  
Posterior Pelvic Ring ◽  
Pelvic Ring Fractures ◽  
Pelvic Binder ◽  
First Choice ◽  
Emergency Stabilization ◽  
Type C

AbstractSevere bleeding is the major cause of death in unstable pelvic ring fractures. Therefore, a quick and efficient emergency stabilization and bleeding control is inevitable. C-clamp and pelvic binder are efficient tools for temporary bleeding control, especially from the posterior pelvic ring. Yet the C-clamp requires more user knowledge, training and equipment. However, whether this makes up for a more efficient bleeding control, is still under debate. Patients with a type-C pelvic ring fracture were identified from the German Pelvic Registry (GPR) and divided into three groups of 40 patients (1. no emergency stabilization, 2. pelvic binder, 3. C-clamp). The matching occurred according to the parameters age, gender, initial RR and initial HB. Complication—and mortality rates were compared especially regarding bleeding control. Regarding ISS and fracture dislocation there was no difference. The use of the C-clamp resulted in more complications, a higher mortality rate due to severe bleeding and more blood transfusions were admitted. Moreover the pelvic binder was established noticeably faster. However, the C-clamp was more often rated as effective. There is no evidence of advantage comparing the C-clamp to the pelvic binder, regarding bleeding control in type-C pelvic ring fractures. In fact, using the pelvic binder even showed better results, as the time until established bleeding control was significantly shorter. Therefore, the pelvic binder should be the first choice. The C-clamp should remain a measure for selected cases only, if an adequate bleeding control cannot be achieved by the pelvic binder.

scholarly journals Documentation for emergency condition mapping of Decorated historic surfaces at the Caid Residence, the Kasbah of Taourirt (Ouarzazate, Morocco)

2015 ◽  
Vol II-5/W3 ◽  
pp. 229-234
Author(s):  
K. Percy ◽  
C. Ouimet ◽  
S. Ward ◽  
M. Santana Quintero ◽  
C. Cancino ◽  
...  
Keyword(s):  
Cultural Heritage ◽  
End Users ◽  
International Standards ◽  
Irreversible Damage ◽  
Protection Measures ◽  
Collaborative Project ◽  
Rapid Mapping ◽  
Emergency Condition ◽  
Emergency Stabilization ◽  
Imminent Risk

As it is broadly understood, recording serves as a basis for the diagnosis, treatment and preservation of historic places and contributes to record our built cultural heritage for posterity. This work is not a stand-alone practice but a part of the overall conservation process of cultural heritage at imminent risk of irreversible damage. Recording of heritage places should be directly related to the needs, skills and the technology that are available to the end users that are responsible for the management and care of these sites. They should be selected in a way that the future managers of these sites can also access and use the data collected. This paper explains an innovative heritage recording approach applied by the Getty Conservation Institute (GCI) and Carleton Immersive Media Studio (CIMS) in the documentation of historic decorated surfaces at the Caïd Residence, located at <i>Tighermt (Kasbah)</i> <i>Taourirt</i> in Ouarzazate, Morocco; as part of a collaborative project between the GCI and the <i>Centre de Conservation et Réhabilitation du Patrimoine Architectural des Zones Atlasiques et Sub-Atlasiques</i> (CERKAS) to rehabilitate the entire architectural ensemble. The selected recording techniques were used for the rapid mapping of conditions of the decorated surfaces at the Caïd Residence using international standards. The resulting work is being used by GCI staff, consultants and CERKAS team to conduct emergency stabilization and protection measures for these important decorated surfaces.

scholarly journals Initial development of lettuce in vermicompost at higher trichoderma doses

2018 ◽  
Vol 36 (1) ◽  
pp. 77-82
Author(s):  
Maria MS Wiethan ◽  
Gabriel S Bortolin ◽  
Renata S Pinto ◽  
Antonio Carlos F Silva
Keyword(s):  
Seed Germination ◽  
Leaf Biomass ◽  
Chemical Characteristics ◽  
Biological Product ◽  
Initial Development ◽  
Lettuce Seeds ◽  
Randomized Design ◽  
Emergency Stabilization ◽  
Completely Randomized Design ◽  
High Concentrations

ABSTRACT The study aimed to evaluate the initial development, as well as, the chemical characteristics of lettuce plants grown in substrate with high concentrations of bioagent (trichoderma). A completely randomized design with four replicates was used. The treatments, applied to a substrate composed of a blend of vermicompost and commercial substrate, were established by the following doses of the commercial product ICB Nutrissolo Trichoderma: T1) 0.0; T2) 1.0; T3) 2.0; T4) 4.0; T5) 8.0 and T6) 16.0x1011 conidia kg-1 of product. After inoculation, the substrate was placed in trays, where 50 lettuce seeds were sown on each replication. Plants were thinned after emergency stabilization, maintaining ten seedlings per tray. At 28 days after sowing, the characteristics percentage and emergence speed index, leaf area, fresh and dry leaf biomass, volume, length and surface area of the root were evaluated. We also determined the chemical characteristics of the leaves. The percentage of seed germination and the emergence speed index were lower at doses higher than 4.0x1011 conidia kg-1 of the biological product. All the studied doses influenced negatively in shoot and root development of the plants. The percentage of nutrients in the leaves was higher in treatments with ICB.

Identifying risk factors for suboptimal pelvic binder placement in major trauma

Injury ◽  
2020 ◽  
Vol 51 (4) ◽  
pp. 971-977
Author(s):  
F. Williamson ◽  
L.G. Coulthard ◽  
C. Hacking ◽  
P. Martin-Dines
Keyword(s):  
Risk Factors ◽  
Major Trauma ◽  
Pelvic Binder

Military experience in the management of pelvic fractures from OIF/OEF

2020 ◽  
pp. bmjmilitary-2020-001469
Author(s):  
William Parker ◽  
R W Despain ◽  
J Bailey ◽  
E Elster ◽  
C J Rodriguez ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Pelvic Fracture ◽  
External Fixator ◽  
Injury Severity ◽  
Fracture Pattern ◽  
Injury Pattern ◽  
Pelvic Fractures ◽  
Vertical Shear ◽  
Treatment Modalities ◽  
Pelvic Binder

IntroductionPelvic fractures are a common occurrence in combat trauma. However, the fracture pattern and management within the most recent conflicts, i.e. Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), have yet to be described, especially in the context of dismounted complex blast injury. Our goal was to identify the incidence, patterns of injury and management of pelvic fractures.MethodsWe conducted a retrospective review on all combat-injured patients who arrived at our military treatment hospital between November 2010 and November 2012. Basic demographics, Young-Burgess fracture pattern classification and treatment strategies were examined.ResultsOf 562 patients identified within the study time period, 14% (81 of 562) were found to have a pelvic fracture. The vast majority (85%) were secondary to an improvised explosive device. The average Injury Severity Score for patients with pelvic fracture was 31±12 and 70% were classified as open. Of the 228 patients with any traumatic lower extremity amputation, 23% had pelvic fractures, while 30% of patients with bilateral above-knee amputations also sustained a pelvic fracture. The most common Young-Burgess injury pattern was anteroposterior compression (APC) (57%), followed by lateral compression (LC) (36%) and vertical shear (VS) (7%). Only 2% (nine of 562) of all patients were recorded as having pelvic binders placed in the prehospital setting. 49% of patients with pelvic fracture required procedural therapy, the most common of which was placement of a pelvic external fixator (34 of 40; 85%), followed by preperitoneal packing (16 of 40; 40%) and angioembolisation (three of 40; 0.75%). 17 (42.5%) patients required combinations of these three treatment modalities, the majority of which were a combination of external fixator and preperitoneal packing. The likelihood to need procedural therapy was impacted by injury pattern, as 72% of patients with an APC injury, 100% of patients with a VS injury and 25% of patients with an LC injury required procedural therapy.ConclusionsPelvic fractures were common concomitant injuries following blast-induced traumatic lower extremity amputations. APC was the most common pelvic fracture pattern identified. While procedural therapy was frequent, the majority of patients underwent conservative therapy. However, placement of an external fixator was the most frequently used modality. Considering angioembolisation was used in less than 1% of cases, in the forward deployed military environment, management should focus on pelvic external fixation±preperitoneal packing. Finally, prehospital pelvic binder application may be an area for further process improvement.

Musculoskeletal Trauma, Damage Control, and Pelvic Binder

2012 ◽  
pp. 1446-1451
Author(s):  
Denis D. Bensard ◽  
Philip F. Stahel ◽  
Jorge Cerdá ◽  
Babak Sarani ◽  
Sajid Shahul ◽  
...  
Keyword(s):  
Damage Control ◽  
Pelvic Binder ◽  
Musculoskeletal Trauma

Emergent Pelvic Binder Application in the Polytrauma Patient: Effect on Mortality

2014 ◽  
Vol 186 (2) ◽  
pp. 689
Author(s):  
H.H. Seidel ◽  
M.J. Pommerening ◽  
C.E. Wade ◽  
J.B. Holcomb ◽  
M. Kumaravel ◽  
...  
Keyword(s):  
Pelvic Binder ◽  
Polytrauma Patient

scholarly journals An assessment of pelvic binder placement at a UK major trauma centre

2018 ◽  
Vol 100 (2) ◽  
pp. 101-105 ◽  
Author(s):  
H Naseem ◽  
PD Nesbitt ◽  
DC Sprott ◽  
A Clayson
Keyword(s):  
Computed Tomography ◽  
Continuing Education ◽  
Retrospective Review ◽  
Major Trauma ◽  
Pelvic Ring ◽  
Trauma Centre ◽  
Pelvic Ring Injury ◽  
Pelvic Ring Injuries ◽  
Pelvic Binder ◽  
Major Trauma Centre

Introduction Pelvic binders are used to reduce the haemorrhage associated with pelvic ring injuries. Application at the level of the greater trochanters is required. We assessed the frequency of their use in patients with pelvic ring injuries and their positioning in patients presenting to a single major trauma centre. Methods A retrospective review of our trauma database was performed to randomly select 1000 patients for study from April 2012 to December 2016. Patients with a pelvic binder or a pelvic ring injury defined by the Young and Burgess classification were included. Computed tomography was used to identify and measure pelvic binder placement. Results 140 patients were identified: 110/140 had a binder placed. Of the total, 54 (49.1%) patients had satisfactory placement and 56 (50.9%) had unsatisfactory placement; 30/67 (44.8%) patients with a pelvic ring injury had no binder applied, of whom 6 (20%) had an unstable injury; 9/67 patients died. Discussion This is the first study assessing pelvic binder placement in patients at a UK major trauma centre. Unsatisfactory positioning of the pelvic binder is a common problem and it was not used in a large proportion of patients with pelvic ring injuries. This demonstrates that there is a need for continuing education for teams dealing with major trauma.

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