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Pelvic splinting in trauma
Pelvic splinting in trauma
What does the evidence suggest?

Do current prehospital guidelines correlate with
recommended ‘best practice’?
Pelvic splinting
Ambulance crews often attend incidents that
 carry a high index of suspicion for pelvic
     fracture - a life threatening injury
Pelvic fractures can kill !
                6 pints of blood can be
                lost into the pelvic cavity
                very quickly after a pelvic
                fracture
Pelvic fractures can kill !
                           6 pints of blood can be
                           lost into the pelvic cavity
                           very quickly after a pelvic
                           fracture




Could appropriate management at the scene minimise
            catastrophic haemorrhage?
  What is considered to be current best practice?
Existing prehospital management
 What guidelines currently exist for prehospital
       management of pelvic trauma?
Existing prehospital management
  What guidelines currently exist for prehospital
        management of pelvic trauma?


•JRCALC Guidelines (2008 update)
Existing prehospital management
   What guidelines currently exist for prehospital
         management of pelvic trauma?


•JRCALC Guidelines (2008 update)

•SCAS NHS Trust guidelines (clinical directive 2008)
Existing prehospital management
    What guidelines currently exist for prehospital
          management of pelvic trauma?


 •JRCALC Guidelines (2008 update)

 •SCAS NHS Trust guidelines (clinical directive 2008)


These guidelines both suggest that a commercial pelvic
                 splint should be used
Existing prehospital management
Existing prehospital management
 So in the absence of splinting devices in the
   SCAS area, what do clinicians do now?
Existing prehospital management
 So in the absence of splinting devices in the
   SCAS area, what do clinicians do now?

 Upside-down KED?




      ?
Existing prehospital management
 So in the absence of splinting devices in the
   SCAS area, what do clinicians do now?
Existing prehospital management
 So in the absence of splinting devices in the
   SCAS area, what do clinicians do now?

   Use a sheet or canvas?



          +
                            =
                                     ?
Existing prehospital management
 So in the absence of splinting devices in the
   SCAS area, what do clinicians do now?
Existing prehospital management
 So in the absence of splinting devices in the
   SCAS area, what do clinicians do now?


   Nothing at all and hope for the best??




                  ?
Existing prehospital management
  ...And are commercial splints that much
                 better?
Existing prehospital management
  ...And are commercial splints that much
                 better?
Thank you
- Any questions?

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Pelvic splinting

Editor's Notes