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Pelvic Binder

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1. False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature (PubMed)

False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature Pelvic binders are routinely used in the prehospital setting for stabilization of pelvic injuries in patients with trauma. Emergency department trauma management relies on primary and secondary survey assessment and imaging, most often computed tomography, in hemodynamically stable patients. Maintaining the pelvic binder in situ allows stabilization (...) of pelvic injuries during imaging but may hinder the visualization of some pelvic lesions. We report a very rare case of severe pelvic disruption with an absolutely normal computed tomography scan due to the effective placement of a pelvic binder.We report the case of a 49-year-old Caucasian man referred to our Emergency Department after a high velocity motorcycle accident. Primary assessment revealed a left wrist deformation and pelvic pain, and a pelvic binder was applied by paramedics. A total body

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2018 Journal of medical case reports

2. Intra-pelvic pressure changes after pelvic fracture: A cadaveric study quantifying the effect of a pelvic binder and limb bandaging over a bolster. (PubMed)

Intra-pelvic pressure changes after pelvic fracture: A cadaveric study quantifying the effect of a pelvic binder and limb bandaging over a bolster. Unstable pelvic fractures can be life-threatening due to catastrophic haemorrhage. Non-invasive methods of reducing and stabilising these injuries include pelvic binder application and also lower limb bandaging over a knee-flexion bolster. Both of these methods help close the pelvic ring and should tamponade bleeding. This study aimed to quantify (...) the intra-pelvic pressure changes that occurred with 3 different manoeuvres: lower limb bandaging over a bolster; a Trauma Pelvic Orthotic Device (T-POD) pelvic binder, and a combination of both.Following a pilot study with 2 soft embalmed cadavers, a formal study with 6 unembalmed cadavers was performed. For each specimen an unstable pelvic injury was created (OA/OTA 61-C1) by dividing the pelvic ring anteriorly and posteriorly. A 3-4cm manometric water-filled balloon was placed in the retropubic space

2017 Injury

3. Association of pelvic fracture patterns, pelvic binder use and arterial angio-embolization with transfusion requirements and mortality rates; a 7-year retrospective cohort study. (PubMed)

Association of pelvic fracture patterns, pelvic binder use and arterial angio-embolization with transfusion requirements and mortality rates; a 7-year retrospective cohort study. Pelvic fractures are severe injuries with frequently associated multi-system trauma and a high mortality rate. The value of the pelvic fracture pattern for predicting transfusion requirements and mortality is not entirely clear. To address hemorrhage from pelvic injuries, the early application of pelvic binders is now (...) recommended and arterial angio-embolization is widely used for controlling arterial bleeding. Our aim was to assess the association of the pelvic fracture pattern according to the Tile classification system with transfusion requirements and mortality rates, and to evaluate the correlation between the use of pelvic binders and arterial angio-embolization and the mortality of patients with pelvic fractures.Single-center retrospective cohort study including all consecutive patients with a pelvic fracture

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2017 BMC Surgery

4. Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: a Retrospective Cohort Study

Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: a Retrospective Cohort Study Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: a Retrospective Cohort Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: a Retrospective Cohort Study The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03133338 Recruitment Status : Completed First Posted : April 28

2017 Clinical Trials

5. Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study (PubMed)

Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study We aimed to evaluate the effect of early pelvic binder use in the emergency management of suspected pelvic trauma, compared with the conventional stepwise approach.We enrolled trauma patients with initial stabilization using a pelvic binder when suspecting pelvic injury. The inclusion criteria were traumatic injury requiring a trauma team and at least one of the following (...) in North Taiwan were enrolled in the study from August 2013 to July 2014. The two group baseline patient characteristics were all collected and compared. The trauma patients with suspected pelvic fractures initially stabilized with a pelvic binder had shorter hospital and intensive care unit (ICU) stays. The study group achieved statistically significantly improved survival and lower mean blood transfusion volume and mortality rate, although they were more severe in the trauma score.We recommend prompt

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2017 International journal of environmental research and public health

6. The Effect of Abdominal Binder Use on Postoperative Pain and Mobility in Patients Undergoing Pelvic Surgery

The Effect of Abdominal Binder Use on Postoperative Pain and Mobility in Patients Undergoing Pelvic Surgery The Effect of Abdominal Binder Use on Postoperative Pain and Mobility in Patients Undergoing Pelvic Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. The Effect of Abdominal Binder Use on Postoperative Pain and Mobility in Patients Undergoing Pelvic Surgery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2018 Clinical Trials

7. Can MDCT Unmask Instability in Binder-Stabilized Pelvic Ring Disruptions? (PubMed)

Can MDCT Unmask Instability in Binder-Stabilized Pelvic Ring Disruptions? Pelvic binders may hinder radiologic assessment of pelvic instability after trauma, and avulsive injuries can potentially unmask instability in this setting. We compare the performance of MDCT for the detection of pelvic disruptions in patients with binders to a matched cohort without binders, and we assess the utility of avulsive injuries as signs of pelvic instability.MDCT examinations of 56 patients with binders were (...) compared with MDCT examinations of 54 patients without binders. Tile grading by an experienced orthopedic surgeon was used as the reference standard (A, stable; B, rotationally unstable; C, rotationally and vertically unstable). Two radiologists performed blinded reviews of CT studies in two reading sessions (sessions 1 and 2). In session 1, Tile grade was predicted on the basis of established signs of instability, including pubic symphysis and sacroiliac (SI) joint widening. In session 2, readers

2017 AJR. American journal of roentgenology

8. The value of 'binder-off' imaging to identify occult and unexpected pelvic ring injuries. (PubMed)

The value of 'binder-off' imaging to identify occult and unexpected pelvic ring injuries. To determine the effectiveness of 'binder-off' plain pelvic radiographs in the assessment of pelvic ring injuries.All patients requiring operative intervention at our tertiary referral pelvic unit/major trauma centre for high-energy pelvic injuries between April 2012 and December 2014 were retrospectively identified. Pre-operative pelvic imaging with and without pelvic binder was reviewed with respect (...) to fracture pattern and pelvic stability. The frequency with which the imaging without pelvic binder changed the opinion of the pelvic stability and need for operative intervention, when compared with the computed tomography (CT) scans and anteroposterior (AP) radiographs with the binder on, was assessed.Seventy-three percent (71 of 97) of patients had initial imaging with a pelvic binder in situ. Of these, 76% (54 of 71) went on to have 'binder-off' imaging. Seven percent (4 of 54) of patients had

2017 Injury

9. Application of Circumferential Compression Device (Binder) in Pelvic Injuries: Room for Improvement (PubMed)

Application of Circumferential Compression Device (Binder) in Pelvic Injuries: Room for Improvement The use of a noninvasive pelvic circumferential compression device (PCCD) to achieve pelvic stabilization by both decreasing pelvic volume and limiting inter-fragmentary motion has become commonplace, and is a well-established component of Advanced Trauma Life Support (ATLS) protocol in the treatment of pelvic ring injuries. The purpose of this study was to evaluate the following: 1) how (...) images, to obtain information on the injury and PCCD application. The injuries were classified by an orthopaedic trauma surgeon and a senior orthopaedic resident. Proper application of a pelvic binder using a sheet is demonstrated.Only 47% of unstable pelvic fractures received PCCD placement, despite being the standard of care according to ATLS. Lateral compression mechanism pelvic injuries received PCCDs in 33% of cases, while anterior posterior compression (APC) and vertical shear (VS) injuries had

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2016 Western Journal of Emergency Medicine

10. Pelvic Binder

Pelvic Binder Pelvic Binder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pelvic Binder Pelvic Binder Aka: Pelvic Binder , T-POD II (...) . Indications (with diastasis) immediate stabilization III. Advantages Benefit is decreased pain and to prevent further injury Likely has similar efficacy to external fixation (without the additional 2 hours required for orthopedics to perform procedure) IV. Disadvantages Pelvic binding is unlikely to decrease pelvic bleeding (similar to external fixation) V. Technique Position binder at the level of the greater trochanters (not over the iliac crests) Eliminate underlying gowns and underwear (risk of skin

2018 FP Notebook

11. Post binder radiography in pelvic trauma (PubMed)

Post binder radiography in pelvic trauma 27381998 2017 03 03 2018 11 13 1757-790X 2016 2016 Jul 05 BMJ case reports BMJ Case Rep Post binder radiography in pelvic trauma. 10.1136/bcr-2016-216420 bcr2016216420 Beaven Alastair A Major Trauma Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK Department of Orthopaedics, Queen Elizabeth Hospital Birmingham, Birmingham, UK. Toman Emma E Major Trauma Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK. Cooper Julian J Department (...) of Orthopaedics, Queen Elizabeth Hospital Birmingham, Birmingham, UK. eng Case Reports Journal Article 2016 07 05 England BMJ Case Rep 101526291 1757-790X IM Fractures, Bone diagnostic imaging surgery Humans Male Middle Aged Pelvic Bones diagnostic imaging injuries surgery Pubic Symphysis Diastasis diagnostic imaging surgery Rib Fractures diagnostic imaging Sacrococcygeal Region diagnostic imaging injuries surgery Tomography, X-Ray Computed 2016 7 7 6 0 2016 7 7 6 0 2017 3 4 6 0 epublish 27381998 bcr-2016

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2016 BMJ case reports

12. Experience and Availability of Pelvic Binders at Swedish Trauma Units; A Nationwide Survey (PubMed)

Experience and Availability of Pelvic Binders at Swedish Trauma Units; A Nationwide Survey To assess availability, experience, and knowledge about the Pelvic Circumferential Compression Device (PCCD) in Sweden.A telephone interview with the current on-call trauma doctors at all trauma units in Sweden was conducted. After a short presentation and oral consent, the doctors were asked to answer four short questions. We asked the doctors to answer whether they knew if they had PCCDs available

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2018 Bulletin of emergency & trauma

13. The Effect of Pelvic Binder Placement on OTA Classification of Pelvic Ring Injuries using Computed Tomography. Does it Mask the Injury? (PubMed)

The Effect of Pelvic Binder Placement on OTA Classification of Pelvic Ring Injuries using Computed Tomography. Does it Mask the Injury? To assess the diagnostic sensitivity of computed tomography (CT) in patients with an unstable pelvic ring injury after application of a pelvic binder.An institutional review board approved retrospective study from 2003 to 2010.Level 1 trauma center.Inclusion criteria were patients in our trauma database with AO/OTA B or C type pelvic ring injury, which first (...) patterns, prebinder x-rays were diagnostic in 69.4% (CI, 51.9%-83.7%) of cases, compared with 50% (CI, 32.9%-67.1%) with CT + PCCD. The x-ray was superior to CT + PCCD for identification of the anterior pelvic injury (McNemar exact P = 0.0352). If x-ray and CT + PCCD were viewed in tandem, 83.3% (CI, 67.2%-93.6%) of classifications were in agreement with the FEUA. For lateral compression mechanisms, the binder did not effect of the sensitivity of the CT except in the open book component of an lateral

2015 Journal of Orthopaedic Trauma

14. Reducing overtriage and undertriage rates of pelvic fractures and unnecessary pelvic binder applications in major trauma patients. (PubMed)

Reducing overtriage and undertriage rates of pelvic fractures and unnecessary pelvic binder applications in major trauma patients.

2015 Emergency Medicine Journal

15. United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update)

of mild-to- moderate pelvic inflammatory disease in outpatients. Clinical Infectious Diseases 1997; 24(2): 170-8. • 36. Hemsell DL, Little BB, Faro S, et al. Comparison of three regimens recommended by the Centers for Disease Control and Prevention for the treatment of women hospitalized with acute pelvic inflammatory disease. Clinical Infectious Diseases 1994; 19(4): 720-7. • 37. Martens MG, Gordon S, Yarborough DR, Faro S, Binder D, Berkeley A. Multicenter randomized trial of ofloxacin versus (...) United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update) United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update) Guideline development group: Jonathan Ross (lead author), Michelle Cole, Ceri Evans, Deirdre Lyons, Gillian Dean, Darren Cousins, PPI representative What is new in the 2019 interim update? • the European Medicines Agency has released new guidance highlighting the potential for disabling

2019 British Association for Sexual Health and HIV

16. 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease

recommended by the Centers for Disease Control and Prevention for the treatment of women hospitalized with acute pelvic inflammatory disease. Clinical Infectious Diseases 1994; 19(4): 720-7. ? 38. Martens MG, Gordon S, Yarborough DR, Faro S, Binder D, Berkeley A. Multicenter randomized trial of ofloxacin versus cefoxitin and doxycycline in outpatient treatment of pelvic inflammatory disease. Ambulatory PID Research Group. Southern Medical Journal 1993; 86: 604-10. ? 39. Walker CK, Kahn JG, Washington AE (...) 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease 2 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease Guideline development group: Jonathan Ross (lead author), Michelle Cole, Ceri Evans, Deirdre Lyons, Gillian Dean, Darren Cousins, PPI representative What is new in the 2018 update? ? the role of Mycoplasma genitalium

2018 British Association for Sexual Health and HIV

17. CRACKCast E055 – Pelvic Trauma

CRACKCast E055 – Pelvic Trauma CRACKCast E055 - Pelvic Trauma - CanadiEM CRACKCast E055 – Pelvic Trauma In , by Adam Thomas December 26, 2016 This episode of CRACKCast covers Rosen’s Chapter 55, Pelvic Trauma. These patients can decline quickly from blood loss, so recognition and determining injury severity early is important to stabilize them. Shownotes – Rosen’s in Perspective Key message: be scared! Patients can easily exsanguinate into their pelvis from pelvic ring fractures Also requires (...) Lots of vascular structures! Internal and external iliac arteries. Superior gluteal artery commonly injured in posterior arch fractures. Obturator and internal pudendal arteries commonly injured in ramus fractures. Veins form venous plexus and have no valves and adhere closely to pelvic walls – can hemorrhage easily and are not compressible. Neurologic Cauda equina in sacral spinal canal Injury to posterior pelvis/sacrum can cause lower neurologic deficits & autonomic dysfunction Check rectal tone

2016 CandiEM

18. Accurate placement of a pelvic binder improves reduction of unstable fractures of the pelvic ring. (PubMed)

Accurate placement of a pelvic binder improves reduction of unstable fractures of the pelvic ring. The aim of this study was to assess the accuracy of placement of pelvic binders and to determine whether circumferential compression at the level of the greater trochanters is the best method of reducing a symphyseal diastasis. Patients were identified by a retrospective review of all pelvic radiographs performed at a military hospital over a period of 30 months. We analysed any pelvic radiograph (...) on which the buckle of the pelvic binder was clearly visible. The patients were divided into groups according to the position of the buckle in relation to the greater trochanters: high, trochanteric or low. Reduction of the symphyseal diastasis was measured in a subgroup of patients with an open-book fracture, which consisted of an injury to the symphysis and disruption of the posterior pelvic arch (AO/OTA 61-B/C). We identified 172 radiographs with a visible pelvic binder. Five cases were excluded due

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2011 The Journal of Bone and Joint Surgery British Volume

19. Pelvic Binder

Pelvic Binder Pelvic Binder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pelvic Binder Pelvic Binder Aka: Pelvic Binder , T-POD II (...) . Indications (with diastasis) immediate stabilization III. Advantages Benefit is decreased pain and to prevent further injury Likely has similar efficacy to external fixation (without the additional 2 hours required for orthopedics to perform procedure) IV. Disadvantages Pelvic binding is unlikely to decrease pelvic bleeding (similar to external fixation) V. Technique Position binder at the level of the greater trochanters (not over the iliac crests) Eliminate underlying gowns and underwear (risk of skin

2015 FP Notebook

20. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America 7/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health Physical Therapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 1/27 Pelvic Girdle (...) ­ p 102–125 doi: 10.1097/JWH.0000000000000081 Clinical Practice Guidelines Background: Examination, diagnosis, prognosis, intervention, and the use of outcomes measures by physical therapists in the antepartum population with pelvic girdle pain should be guided by current evidence. The creations of clinical practice guidelines (CPGs) is a crucial process for examining and maintaining the validity of recommendations, as well as provide classification and definition using the International

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

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