Pelvic binder placement in a regional trauma centre

Abstract

Background: Pelvic circumferential compression devices (PCCDs) are a life-saving prehospital adjunct to trauma care. Correct positioning at the level of the trochanters maximises their efficacy. Methods: To examine the positioning of PCCDs in a regional trauma centre in England, a retrospective analysis of patients who had experienced major trauma was carried out over a 6-month period. The primary outcome of PCCD position was assessed using computerised tomography imaging and recorded as ‘high’, ‘centred’ or ‘low’ (depending on trochanter level). Secondary outcomes, including patient demographics, mechanism, pattern, number and types of injury were also collected. Results: Eighty-nine patients were identified with a PCCD in situ, in whom 28 (31%) devices were positioned too high and eight (10%) too low. There was no correlation between mechanism, pattern, number or type of injury and PCCD position. Conclusions: Despite published evidence on PCCD position and training for personnel, many PCCDs are still poorly placed. Further education for professionals involved in PCCD application is recommended.