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The immediate treatment of pelvic ring disruption with the pelvic stabilizer
L D Ward1, M M Morandi, M Pearse
1Department of Orthopedic Surgery, University of Texas, Houston 77030, USA.
Insights
Emergent use of the Pelvic Stabilizer device in the emergency room successfully managed severe pelvic ring disruptions in hemodynamically unstable patients. This rapid stabilization aids resuscitation and prevents further decompensation.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Orthopedic Trauma
Background:
- Severe pelvic ring disruption is a critical trauma emergency requiring prompt management.
- Standard resuscitation may involve pneumatic anti-shock trousers, external fixation, or improvised methods.
Observation:
- A case report details the successful emergent application of the Pelvic Stabilizer in the emergency room for pelvic ring disruption.
- The Pelvic Stabilizer allows for acute reduction and early stabilization of displaced pelvises.
Findings:
- The Pelvic Stabilizer is effective for hemodynamically unstable patients with pelvic ring disruption in the emergency setting.
- Pelvic clamps are also effective for stable trauma patients with pelvic ring disruption.
Implications:
- Emergent use of the Pelvic Stabilizer offers a valuable tool for managing severe pelvic injuries.
- This device facilitates rapid stabilization without compromising access for other interventions.
Abstract:
The management of the hemodynamically unstable patient with a severe pelvic ring disruption remains one of the most serious trauma emergencies. Standard resuscitation protocols may include attempted closure of the pelvic ring by the use of pneumatic anti-shock trousers, external fixation applied in the operating room, or a sheet wrapped around the patient in the emergency room. We report a case of pelvic ring disruption in which a successful clinical outcome was achieved with the emergent use of the Pelvic Stabilizer in the emergency room. The Pelvic Stabilizer is a device that can be effectively applied in the emergency room for the acute reduction and early stabilization of the displaced pelvis in a hemodynamically unstable patient. The use of a pelvic clamp can also be effective in the acute setting for a stable trauma patient with pelvic ring disruption. It rapidly reduces and stabilizes a potential cause for patient decompensation without obstructing access to further concomitant diagnostic or therapeutic interventions in the abdomen and perineum.