Does the accuracy of prehospital pelvic binder placement affect cardiovascular physiological parameters during rescue? A clinical study in patients with pelvic ring injuries.
OTA Int
; 5(2 Suppl): e186, 2022 Apr.
Article
em En
| MEDLINE
| ID: mdl-35949268
ABSTRACT
Introduction:
Pelvic binders (PB) have become an established first-line treatment for on scene use in suspected pelvic ring injuries. A sustained incidence of incorrect placements was reported, usually above the trochanteric region. We examined if malplacement is associated with worse clinical parameters related to resuscitation.Methods:
Retrospective chart review, level 1 center over a 3-year period. Inclusion criteria adult patients (18-69y/o), high-energy injury, presence of a pelvic binder on admission - patients without binders served as controls. Exclusions geriatric patients (>70y/o), ground level falls. Malplacement of the binder was assessed and graded (grade 1<5âcm above trochanter, grade 25-10âcm, grade 3â>â10âcm) from the initial computed tomography scan (3D reconstruction).Results:
Seventy-six patients were included. Males (72%), mean age 47years (range 18-91, SD 19.4). Mean Injury Severity Score was 22.3 points (range 1 -48, SD 10.4) and mean Glasgow Coma Score on arrival was 10.8 points (range 3-15, SD 5.3). Fifty-three percent presented with a pelvic ring injury (74% of them with a type B or C fracture). Mean PB distance from the trochanteric region was 56âmm (range 41-247âmm, SD 54.5). Fifty percent of PBs were moderately displaced, 21% showed severe misplacement (>100âmm). Physiological parameters were unchanged regardless of the accuracy of PB placement.Conclusion:
Incorrect placement of pelvic binders persists despite widespread implementation of the device. In our series, displacement was always cranially and had no effect on preclinical fluids received or parameters of resuscitation on arrival. Level of Evidence III.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
OTA Int
Ano de publicação:
2022
Tipo de documento:
Article
País de publicação:
EEUU
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ESTADOS UNIDOS
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ESTADOS UNIDOS DA AMERICA
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EUA
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UNITED STATES
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UNITED STATES OF AMERICA
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US
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USA