Effectiveness of non invasive external pelvic compression: a systematic review of the literature

Bakhshayesh, Peyman; Boutefnouchet, Tarek; Tötterman, Anna

doi:10.1186/s13049-016-0259-7

Cited by 53 publications

(33 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As the long-term effects of pelvic binder remain unclear at present, including the potential risk of soft tissue complications from prolonged compression [45], the general recommendation is to remove pelvic binders as soon as physiologically justifiable [26], and to consider replacing binders by external pelvic fixation.…”

Section: Methodsmentioning

confidence: 99%

Pelvic trauma: WSES classification and guidelines

et al. 2017

View full text Add to dashboard Cite

Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.

show abstract

Section: Methodsmentioning

confidence: 99%

Pelvic trauma: WSES classification and guidelines

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The ATLS protocol has been shown to improve doctors’ knowledge and performance regarding acute management of poly-trauma patients [ 5 ]. Decreasing the intra-pelvic volume in patients with pelvic injury is the idea behind the application of a PCCD [ 6 ]. To achieve maximum mechanical stability in a disrupted pelvic ring it is recommended that PCCD be applied at the level of the greater trochanters [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Experience and Availability of Pelvic Binders at Swedish Trauma Units; A Nationwide Survey

Bakhshayesh

Heljesten

Weidenhielm

et al. 2018

BEAT

Self Cite

View full text Add to dashboard Cite

Objective:To assess availability, experience, and knowledge about the Pelvic Circumferential Compression Device (PCCD) in Sweden.Methods: A telephone interview with the current on-call trauma doctors at all trauma units in Sweden was conducted. After a short presentation and oral consent, the doctors were asked to answer four short questions. We asked the doctors to answer whether they knew if they had PCCDs available in their emergency room, how many times had they applied a PCCD, which is the correct level of application for a PCCD, and if a PCCD can stop arterial bleeding. Results:The on-call trauma doctors at the nine University hospitals, twenty-two General hospitals and twenty-one District General hospitals, with response rate of 100%, were interviewed. Availability of PCCD was 85 % and there was no difference between hospital types (p=0.546). In all hospitals 29/52 (56%) of those interviewed had used a PCCD at least once. There were significantly more doctors that had used a PCCD at least once in the University hospitals (8/9), compared to General hospitals (13/22) and District General hospitals (8/21) (p=0.034). A total of 43/52 (83 %) doctors defined the greater trochanters as the correct level of application for a PCCD. No difference was found when comparing hospitals (p=0.208). Only 22/52 (42 %) of doctors answered that a PCCD could not stop an arterial bleeding. No difference was found between hospitals (p=0.665)Conclusion:Less than half of the doctors knew that a PCCD cannot stop arterial bleeding, while the majority knew the correct level of application of a PCCD.

show abstract

“…Pelvic binders provide circumferential compression of the bony pelvis, providing emergency stabilisation of a pelvic fracture and theoretically reducing blood loss. Observational studies suggest a survival benefit associated with their use (Bakhshayesh et al, 2016). The risks associated with binder application for short periods are minimal, but prolonged use should be avoided to prevent pressure-related complications.…”

Section: Pelvic Bindersmentioning

confidence: 99%

What's new for trauma haemorrhage management?

2019

View full text Add to dashboard Cite

Uncontrolled haemorrhage is the leading cause of preventable death from injury and is a major contributor to the global burden of disease. The majority of deaths resulting from bleeding occur within the first 3 hours of hospital admission, and the window for meaningful intervention is therefore extremely small. Resuscitative efforts during active bleeding should focus on maintaining haemostatic function with blood product transfusion and early administration of tranexamic acid. Achieving control of haemorrhage is the overarching treatment priority and may require temporising measures before definitive surgical or radiological intervention. This review summarizes the contemporary approaches to resuscitation of bleeding trauma patients, options for achieving haemorrhage control, and current areas of active research including organ protective resuscitation and suspended animation.

show abstract

Effectiveness of non invasive external pelvic compression: a systematic review of the literature

Cited by 53 publications

References 45 publications

Pelvic trauma: WSES classification and guidelines

Pelvic trauma: WSES classification and guidelines

Experience and Availability of Pelvic Binders at Swedish Trauma Units; A Nationwide Survey

What's new for trauma haemorrhage management?

Contact Info

Product

Resources

About