A.
|
There are no documented contraindications
for use of pelvic binders,
makeshift bed sheet slings or certain PASG's on open-book pelvic
fractures, however, not using a pelvic stabilizer of some type on a
hemodynamically unstable adult patient (<90 mmhg) with mechanism may hasten decompensated shock. The biomechanical mechanism for open-book pelvic fracture primarily occurs from lower extremity external
rotation and/or A-P pelvic compression trauma.
Any patient with exam findings of pelvic fracture warrant high-priority transport due to concerns about
severe internal bleeding and hypovolemia. BLS services should request
ALS intercept. Local protocols may indicate aeromedical transport to a
nearby trauma center if the patient has a suspected pelvic fracture.
High-priority rapid transport with additional resources are especially
important if patient has unstable vital signs.
|
