+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures



Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures



American Journal of Surgery 194(6): 720



We hypothesized that early use of external mechanical compression (EMC) reduces hemorrhage and mortality associated with pelvic fractures. Patients with pelvic fractures and one of the following risk factors for hemorrhage were studied retrospectively: (1) unstable fracture pattern, or (2) any fracture in patients older than 55 years of age, or (3) fracture with systemic hypotension. Starting in November of 2003, EMC was performed using circumferential pelvic binders on patient arrival and continued for 24 to 72 hours. Patients who underwent EMC (n = 118) were compared with historical controls in the preceding year (n = 119). Patients in the EMC and control groups had similar fracture patterns, age, and injury severity. EMC had no effect on mortality (23% vs 23%, P = .92), need for pelvic angioembolization (11% vs 15%, P = .35), or 24-hour transfusions (5.2 +/- 10 vs 4.6 +/- 9 U, P = .64). Early EMC with pelvic binders does not reduce hemorrhage or mortality associated with pelvic fractures.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052864363

Download citation: RISBibTeXText

PMID: 18005760

DOI: 10.1016/j.amjsurg.2007.08.040


Related references

Young-Burgess classification of pelvic ring fractures: does it predict mortality, transfusion requirements, and non-orthopaedic injuries?. Journal of Orthopaedic Trauma 24(10): 603-609, 2010

Association of pelvic fracture patterns, pelvic binder use and arterial angio-embolization with transfusion requirements and mortality rates; a 7-year retrospective cohort study. Bmc Surgery 17(1): 104, 2017

Fixation of pelvic fractures and dislocations. An experimental study on the loading of pelvic fractures and sacro-iliac dislocations after external compression fixation. Acta Orthopaedica Scandinavica 49(3): 278-286, 1978

A bed sheet is not as effective as a pelvic circumferential compression device in generating pelvic compression in patients with a suspected pelvic fracture. Trauma 17(2): 128-133, 2015

Distraction external fixation in lateral compression pelvic fractures. Journal of Orthopaedic Trauma 14(7): 475-482, 2000

Pelvic circumferential compression devices benefit patients with pelvic fractures who need transfers. American Journal of Emergency Medicine 31(10): 1432-1436, 2013

The treatment of pelvic girdle fractures with the pelvic compression clamp. Jonasch, E (Ed ) Hefte Zur Unfallheilkunde, Heft 124 10 Tagung Der Oesterreichischen Gesellschaft Fuer Unfallchirurgie 11 Und 12 Oktober 1974, Salzburg, Austria (Series on Traumatology, No 124 Tenth Session Of The Austrian Society Of Traumatology, Salzburg, Austria, Oct 11-12, 1974 ) (In Ger ) Xiii+330p Illus Springer Verlag: Berlin, West Germany; New York, N Y , U S A ISBN 3-540-07495-3; ISBN 0-387-07495-3: 288-291, 1975

Stabilization of unstable pelvic fractures with supraacetabular compression external fixation. Journal of Orthopaedic Trauma 21(4): 269-273, 2007

Improving the improvisational pelvic circumferential compression technique for open-book pelvic fractures using a simulation model and a sphygmomanometer. Journal of the Royal Army Medical Corps 2019:, 2019

Effectiveness and complications of pelvic circumferential compression devices in patients with unstable pelvic fractures: a systematic review of literature. Injury 40(10): 1031-1035, 2009

Influence of external pelvic stabilization on hemodynamically unstable pelvic fractures. Der Unfallchirurg 120(4): 312-319, 2017

Emergency pelvic external stabilization as the first step treatment in high risk pelvic fractures. Ulusal Travma Ve Acil Cerrahi Dergisi 10(2): 115-122, 2004

External fixation of double vertical pelvic fractures with a trapezoid compression frame. Injury 10(2): 142-145, 1978

Pelvic ring disruptions: prediction of associated injuries, transfusion requirement, pelvic arteriography, complications, and mortality. Journal of Orthopaedic Trauma 16(8): 553-561, 2002

Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures: a cadaveric study. Injury 39(8): 903-906, 2008