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Pelvic sheet binders: Are doctors placing them in the correct position?
Marcus William Kruger1, Jana du Plessis1,2, Pravani Moodley1,3
1Division of Emergency Medicine, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Summary
Doctors accurately placed pelvic sheet binders (PSBs) in 83.5% of cases, with experience and training improving accuracy. This highlights the effectiveness of PSBs in trauma care.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Medical Simulation
Background:
- Unstable pelvic fractures are life-threatening, causing significant hemorrhage.
- Pelvic Circumferential Compression Devices (PCCDs) are crucial for initial management.
- In resource-limited settings, pelvic sheet binders (PSBs) are an alternative to PCCDs.
Purpose of the Study:
- To evaluate the accuracy of pelvic sheet binder (PSB) placement by doctors.
- To identify factors influencing the accuracy of PSB placement in Southern Africa.
Main Methods:
- A multicentre, prospective, observational, simulation-based study.
- Doctors placed PSBs on simulated patients of varying body mass index (BMI).
- Placement accuracy was assessed relative to the greater trochanters (GTs).
Main Results:
- Overall PSB placement accuracy was 83.5%.
- BMI did not significantly affect placement accuracy.
- Factors associated with accurate placement included working in Trauma Emergency Units (TEUs), ≥6 years of experience, and specific postgraduate training (DipPEC).
Conclusions:
- Pelvic sheet binder (PSB) placement accuracy is high.
- Postgraduate training and experience enhance PSB placement accuracy.
- Further research into optimal binder design and securing methods is warranted.
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