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Prehospital stabilization of pelvic dislocations: a new strap belt to provide temporary hemodynamic stabilization

Published in Swiss surgery. 1999, vol. 5, no. 2, p. 43-6
Abstract High energy pelvic fractures or dislocations are associated with a high rate of early complications, due to the associated intrapelvic organs. The high rate of early mortality is mostly due to the intrapelvic, retroperitoneal bleeding caused by the laceration of vascular structures located in the presacral area. External compression of the pelvic ring, using such devices as PASG or external fixators may prevent the intrapelvic collection of large hematomas by providing indirect tamponade. Unfortunately, these devices are either unavailable on the accident site, or the complexity of their handling is discouraging for the primary care-taker. A simple system of external pelvic compression which could be applied on the scene of trauma consisting of a pelvic strap-belt was therefore developed. The application of the device is easy, quick (30 seconds) and straightforward. Its use does not induce any known complications and requires minimal training. The cost and transportability of the system are further advantages. The system has already been used in 19 patients equipped on accident scene. Our first experiences using this device are reviewed.
Keywords AdultDislocations/physiopathology/therapyEmergency Medical Services/methods/trendsHemodynamicsHumansMaleOrthopedic Fixation Devices/trendsPelvic Bones/injuries
PMID: 10217975
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Research groups Chirurgie orthopédique et traumatologique (98)
Traumatologie ostéoarticulaire (99)
(ISO format)
VERMEULEN, Bernard et al. Prehospital stabilization of pelvic dislocations: a new strap belt to provide temporary hemodynamic stabilization. In: Swiss surgery, 1999, vol. 5, n° 2, p. 43-6. doi: 10.1024/1023-9332.5.2.43 https://archive-ouverte.unige.ch/unige:73050

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Deposited on : 2015-06-08

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