[Ortho] Pelvic binder in fracture pelvis

[Milton L. Routt]

It's important to not be led astray by algorithms...they are
appropriate as conceptual guides, but each individual patient is
unique and likewise has a unique injury pattern and primary organ
system injuries and response to their traumatic event...the treating
team must be efficient, communicative, aware, skilled, dynamic,
cooperative, and adaptable.

Simple techniques that gather together an unstable pelvic ring while
allowing the resuscitation efforts to proceed without negatively
impacting further definitive procedures are optimal.... accurate
reduction and stable internal fixation rule the eventual clinical
result.    

It's not that we haven't tried to push the edge, but if you keep
working long enough at some point the clinical realities and
individual diversities become apparent.

Wrap, warm, fill, (squirt and/or divert if necessary), reduce, and
fix expeditiously. 

chip