UMEM Educational Pearls

Category: Trauma

Title: Do prehospital applied pelvic binders impact mortality?

Keywords: Pelvic binder, trauma, survival, mortality (PubMed Search)

Posted: 2/18/2024 by Robert Flint, MD (Updated: 4/13/2024)
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This retrospective study of 66 trauma patients who had pelvic fractures attempted to determine if prehospital applied pelvic binders had an impact on mortality. There were 3 cohorts: appropriately applied binders (14), inappropriately applied (14 not at the level of the greater trochanter), and none applied (38).  Survival for applied was 92% and those without was 81% which was not statistically significant.  The authors concluded: “In conclusion, our study found that the use of prehospital pelvic binders did not show a significant effect on patient outcomes for those with unstable pelvic fractures. Instead, injury severity score (ISS) emerged as the most significant predictor of survival.”

Previous studies have shown regular education is needed on proper use of binders.  We should continue to educate on appropriate positioning and the use of pelvic binders. For me, this study is not large enough to convince that we should go away from binder use. We need more data before we abandon the pelvic binder.

References

Alonja Reiter, André Strahl, Sarina Kothe, Markus Pleizier, Karl-Heinz Frosch, Konrad Mader, Annika Hättich, Jakob Nüchtern, Christopher Cramer,

Does a prehospital applied pelvic binder improve patient survival?,

Injury,

2024,

111392,

ISSN 0020-1383,

https://doi.org/10.1016/j.injury.2024.111392.