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BET 3: Pelvic circumferential compression devices for haemorrhage control: panacea or myth?

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Report by: Michael Stewart, St5 Emergency Medicine

Search checked by: David Clarke, St5 Emergency Medicine

Institution: Blackpool Victoria Hospital, Blackpool, UK and Stepping Hill Hospital, Stockport, UK

Abstract

A short-cut review was carried out to establish whether pelvic immobilisation with a pelvic compression device or with a wrapped sheet would provide haemorrhage control. Four studies were relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are shown in table 3. The clinical bottom line is that both may provide some haemorrhage control, but there is insufficient evidence to recommend one over the other.

Three-part question

In (patients with unstable pelvic fractures) are (pelvic compressions devices) effective at (reducing bleeding and mortality)?

Clinical scenario

You are leading the team resuscitation of a cyclist who was hit by a car. From the injury pattern …

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