Prehospital Management of Pelvic Injuries

摘要

Pelvic injuries result from blunt trauma-like traffic accidents or falls. Up to 12% of all trauma patients suffer from pelvic injury; this has to be taken into consideration in patients after high-impact trauma. Fractures of the pelvic ring may cause injury to intrapelvic vessels, organs and soft tissue which rapidly leads to hemorrhagic shock and thus pelvic injury remains one of the most common causes of death after trauma. Early suspicion, identification and management of pelvic fractures may reduce the hemorrhagic shock after pelvic injury. The external compression provided by a splint (PelvicBinder Inc.; T-Pod~R; SAM PelvicSling~(TM)) represents a well established method to reduce the intra-pelvic volume and bleeding. The application is done within a few seconds and does not cause any delay in the necessary early hospital transfer.