[Ortho] Pelvic binder in fracture pelvis
Roger C. Sohn
orthoforum на weborto.net
Сб Апр 18 21:24:45 YEKST 2009
George,
We recently revisited our hospital's protocol. It's attached
(http://weborto.net/forum/pics/2k9/04/1826.pdf, PDF 1.1 Mb). We use
a non-invasive pelvic binder (TPOD), with Ex-fix added after initial
stabilization.
We incorporated Balogh's practice guidelines
(http://weborto.net/forum/pics/2k9/04/1825.pdf, PDF 215 Kb) with time
limits on non-invasic pelvic binding, Abd clearance, and pelvic angio
(they showed a 28% decrease in mortality after adopting these
standards). Also, a good algorithm can be found at
http://www.trauma.org/index.php/main/article/668/
I'm sure there are many others with good algorithms here. I'm
looking forward to seeing them.
Roger Sohn
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