Pelvic Fracture Clinical Trial
Official title:
Division of Traumatic and General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center
The investigators aimed to evaluate the effect of early pelvic binder use in emergency management of suspected pelvic trauma, compared with the conventional stepwise approach.
There is currently no universal consensus on all aspects of management of pelvic injuries.
Among patients with multiple injuries because of blunt trauma, 5%-16% sustain injuries to
the pelvic ring, resulting in a mortality rate of 11%-54% primarily due to hemorrhagic
shock. In theory, the reduction and stabilization of the pelvic ring can decrease bleeding
from the fracture site, as reduction of pelvic volume has been shown to reduce the extent of
hemorrhage from such injuries.The application of a pelvic binder has become part of the
emergency care of all trauma patients with suspected pelvic fractures, in both the
pre-hospital environment and emergency department (ED). The present study aimed to assess
the effectiveness of the early use of pelvic binders to treat patients with a suspected high
risk of pelvic bleeding from blunt force pelvic fractures.
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