Circumfrential Sheet
| Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
|
II
|
Supportive (Green)
|
Blood transfusion
|
Process
|
ED-MD
|
Fu CY., Wu YT., Liao CH., et al. Pelvic circumferential compression devices benefit patients with pelvic fractures who need transfers. Am J Emerg Med 2013; 31(10):1432-6. Medline
|
|
II
|
Supportive (Green)
|
Mortality
|
Patient
|
ED-MD
|
Pizanis A., Pohlemann T., Burkhardt M., Aghayev E., Holstein JH. Emergency stabilization of the pelvic ring: Clinical comparison between three different techniques. Injury 2013; 44(12):1760-4. Medline
|
|
II
|
Neutral (Yellow)
|
Guideline adherence
|
Process
|
ED-MD
|
Toth L., King KL., McGrath B., Balogh ZJ. Efficacy and safety of emergency non-invasive pelvic ring stabilisation. Injury 2012; 43(8):1330-1334. Medline
|
|
II
|
Opposes (Red)
|
Incidence of lethal pelvic bleeding
|
Patient
|
ED-MD
|
Pizanis A, Pohlemann T, Burkhardt M, Aghayev E, Holstein JH. Emergency stabilization of the pelvic ring: Clinical comparison between three different techniques. Injury. 2013 Dec;44(12):1760-4. doi: 10.1016/j.injury.2013.07.009. Epub 2013 Aug 2. PMID: 23916903. Medline
|
|
III
|
Supportive (Green)
|
Effective injury reduction
|
Patient
|
SIM
|
DeAngelis NA., Wixted JJ., Drew J., et al. Use of the trauma pelvic orthotic device
(T-POD) for provisional stabilisation of anterior-posterior compression type pelvic
fractures: a cadaveric study. Inj Int J Care Injured 2008; 39:903–6. Medline
|
|
III
|
Supportive (Green)
|
Pelvic ring closure
|
Process
|
|
Durão C, Alves M, Barros A, Pedrosa F. The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy. Journal of clinical orthopaedics and trauma 2017; 8:S17-20. Medline
|
|
III
|
Supportive (Green)
|
Blood pressure
|
Patient
|
ED-MD
|
Nunn T., Cosker D., Pallister I. Immediate application of improvised pelvic binder as
first step in extended resuscitation from life-threatening hypovolaemic shock in
conscious patients with unstable pelvic injuries. Inj Int J Care Injured 2007; 38:125–8. Medline
|
|
III
|
Supportive (Green)
|
Reduction
|
Patient
|
ED-MD
|
Simpson T., Krieg JC., Heuer F., Bottlang M. Stabilization of Pelvic Ring Disruptions with a Circumferential Sheet. J Trauma 2002; 52:158-161. Medline
|
|
III
|
Supportive (Green)
|
Blood loss
|
Patient
|
ED-MD
|
Spanjersberg WR., Knops SP., Schep NW. Effectiveness and complications of pelvic circumferential compression devices in patients with unstable pelvic fractures: a systematic review of literature. Injury 2009; 1031–103. Medline
|
Corsette Style Compression Device (e.g. T-Pod)
| Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
|
II
|
Supportive (Green)
|
Hospital admission
|
Patient
|
PH-Paramedic
|
Bangura A, Burke CE, Enobun B, O'Hara NN, et al. Are Pelvic Binders an Effective Prehospital Intervention? Prehosp Emerg Care 2023; 27(1):24-30. Medline
|
|
II
|
Supportive (Green)
|
Transfusion
|
Patient
|
ED-MD
|
Croce M., Magnotti L., Savage S.. Emergent Pelvic Fixation in Patients with Exsanguinating Pelvic Fractures. J Am Coll Surg 2007;1(59):935-9. Medline
|
|
II
|
Supportive (Green)
|
Blood transfusion
|
Patient
|
ED-MD
|
Fu CY., Wu YT., Liao CH., et al. Pelvic circumferential compression devices benefit patients with pelvic fractures who need transfers. Am J Emerg Med 2013; 31(10):1432-6. Medline
|
|
II
|
Supportive (Green)
|
Mortality
|
Patient
|
PH-Paramedic & MD
|
Ono S, Miyata S, Suzuki H, Shimizu K. Effectiveness of pelvic circumferential compression device for lower body trauma: Insights from a Japan Trauma Data Bank retrospective study. Acute Med Surg. July 2024; 11(1):e983. Medline
|
|
II
|
Neutral (Yellow)
|
Paramedic Sentivity/Specificity of application
|
Process
|
PH-Paramedic & MD
|
Balet L, Ageron FX, Pasquier M, Zingg T, The Swiss Trauma Registry. Performance Assessment of Out-of-Hospital Use of Pelvic Circumferential Compression Devices for Severely Injured Patients in Switzerland: A Nationwide Retrospective Cross-Sectional Study. J Clin Med August 2023; 12(17). Medline
|
|
II
|
Neutral (Yellow)
|
Mortality
|
Patient
|
PH-Paramedic
|
Berger-Groch J, Rueger JM, Czorlich P, Frosch KH, Lefering R, Hoffmann M. Evaluation of Pelvic Circular Compression Devices in Severely Injured Trauma Patients with Pelvic Fractures. Prehosp Emerg Care 2022; 26(4):547–55. Medline
|
|
II
|
Neutral (Yellow)
|
Proportion of prehospital under triage
|
Process
|
PH-Paramedic
|
Coulombe P, Malo C, Robitaille-Fortin M, et al. Identification and Management of Pelvic Fractures in Prehospital and Emergency Department Settings. J Surg Res June 2024; 300:371-80. Medline
|
|
II
|
Neutral (Yellow)
|
Safety
|
Patient
|
PH-Paramedic
|
Pierrie SN, Seymour RB, Wally MK, Studnek J, Infinger A, Hsu JR. Pilot randomized trial of pre-hospital advanced therapies for the control of hemorrhage (PATCH) using pelvic binders. Am J Emerg Med 2021; 42:43-8. Medline
|
|
II
|
Neutral (Yellow)
|
Mortality
|
Patient
|
PH-Paramedic
|
Reiter A, Strahl A, Kothe S, Pleizier M, Frosch KH, Mader K, Hättich A, Nüchtern J, Cramer C. Does a prehospital applied pelvic binder improve patient survival? Injury. 2024 Jan 29:111392. doi: 10.1016/j.injury.2024.111392. Epub ahead of print. PMID: 38331685. Medline
|
|
II
|
Neutral (Yellow)
|
Transfusion requirements
|
Patient
|
PH-Paramedic
|
Schweigkofler U, Wohlrath B, Trentzsch H, Horas K, Hoffmann R, Wincheringer D. Is there any benefit in the pre-hospital application of pelvic binders in patients with suspected pelvic injuries? Eur J Trauma Emerg Surg 2021; 47(2):493-8. Medline
|
|
II
|
Opposes (Red)
|
Mortality
|
Patient
|
ED-Paramedic & MD
|
Trentzsch H, Lefering R, Schweigkofler U. Imposter or knight in shining armor? Pelvic circumferential compression devices (PCCD) for severe pelvic injuries in patients with multiple trauma: a trauma-registry analysis. Scand J Trauma Resusc Emerg Med January 2024; 32(1):2. Medline
|
|
III
|
Supportive (Green)
|
Effective injury reduction
|
Patient
|
SIM
|
DeAngelis NA., Wixted JJ., Drew J., et al. Use of the trauma pelvic orthotic device
(T-POD) for provisional stabilisation of anterior-posterior compression type pelvic
fractures: a cadaveric study. Inj Int J Care Injured 2008; 39:903–6. Medline
|
|
III
|
Supportive (Green)
|
-
|
Patient
|
SIM
|
Knops SP., Schep NW., Spoor CW., van Riel MP., Spanjersberg WR., Kleinrensink GJ.,
et al. Comparison of three different pelvic circumferential compression devices:
a biomechanical cadaver study. J Bone Joint Surg Am 2011; 93:230–40. Medline
|
|
III
|
Supportive (Green)
|
Correct positioning
|
Process
|
ED-MD
|
Naseem H., Nesbitt PD., Sprott DC., Clayson A. An assessment of pelvic binder placement at a UK major trauma centre. Ann R Coll Surg Engl 2018; 100(2) 101-5. Medline
|
|
III
|
Supportive (Green)
|
Effectiveness
|
Process
|
|
Reynard FA., Flaris AN., Simms ER., et al. Kendrick's extrication device and unstable pelvic fractures: Should a trochanteric belt be added? A cadaveric study. Injury. 2016;47(3):711-6. Medline
|
|
III
|
Supportive (Green)
|
-
|
Process
|
ED-MD
|
Schweigkofler U., Wohlrath B., Trentsch H., Greipel J., Tamimi N., Hoffmann R., et al. Diagnostics and early treatment in prehospital and emergency-room phase in suspicious pelvic ring fractures. European journal of trauma and emergency surgery 2018; 44(5) 747-52. Medline
|
|
III
|
Supportive (Green)
|
Blood loss
|
Patient
|
ED-MD
|
Spanjersberg WR., Knops SP., Schep NW. Effectiveness and complications of pelvic circumferential compression devices in patients with unstable pelvic fractures: a systematic review of literature. Injury 2009; 1031–103. Medline
|
|
III
|
Supportive (Green)
|
Mean arterial pressure
|
Patient
|
ED-MD
|
Tan EC., van Stigt SF., van Vugt AB. Effect of a new pelvic stabilizer (T-POD(R)) on reduction of
pelvic volume and haemodynamic stability in unstable pelvic fractures. Injury 2010; 41:1239–43. Medline
|
|
III
|
Neutral (Yellow)
|
Appropriate application
|
Process
|
PH-Paramedic & MD
|
Carvalho Mota MT, Goldfinger VP, Lokerman R, Terra M, et al. Prehospital accuracy of (H)EMS pelvic ring injury assessment and the application of non-invasive pelvic binder devices. Injury 2023. Medline
|
|
III
|
Neutral (Yellow)
|
Mortality
|
Patient
|
ED-Paramedic & MD
|
Pizanis A., Pohlemann T., Burkhardt M., Aghayev E., Holstein JH. Emergency stabilization of the pelvic ring: Clinical comparison between three different techniques. Injury 2013; 44(12):1760-4. Medline
|
|
III
|
Opposes (Red)
|
Exerted Surface Pressures
|
Process
|
SIM
|
Knops SP., van Riel MP., Goossens RH., et al. Measurements of the exerted pressure by pelvic circumferential compression devices. Open Orthop J 2010; 4:101–6. Medline
|
|
X
|
Not Yet Graded (White)
|
-
|
|
|
Coneys U, Morello V, Andereggen E, Valisena S, Ansorge A, Gamulin A. High-energy blunt pelvic ring injuries and pre-hospital pelvic binder applications - A retrospective assessment based on a prospective registry. Injury 2024; 55(12):111958. Medline
|
External Mechanical Compression Device
| Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
|
II
|
Supportive (Green)
|
Blood transfusion
|
Process
|
ED-MD
|
Fu CY., Wu YT., Liao CH., et al. Pelvic circumferential compression devices benefit patients with pelvic fractures who need transfers. Am J Emerg Med 2013; 31(10):1432-6. Medline
|
|
II
|
Supportive (Green)
|
Mortality
|
Patient
|
ED-MD
|
Pizanis A., Pohlemann T., Burkhardt M., Aghayev E., Holstein JH. Emergency stabilization of the pelvic ring: Clinical comparison between three different techniques. Injury 2013; 44(12):1760-4. Medline
|
|
II
|
Neutral (Yellow)
|
Mortality
|
Patient
|
ED-MD
|
Ghaemmaghami V., Sperry J., Gunst M., et al. Effects of early use of external pelvic
compression on transfusion requirements and mortality in pelvic fractures. Am J
Surg 2007; 194:720–3. Medline
|
|
II
|
Neutral (Yellow)
|
Use of Pelvic Binder
|
Patient
|
PH-MD & CCT
|
Schweigkofler U, Wohlrath B, Trentzsch H, Horas K, Hoffmann R, Wincheringer D. Is there any benefit in the pre-hospital application of pelvic binders in patients with suspected pelvic injuries? Eur J Trauma Emerg Surg 2021; 47(2):493-8. Medline
|
|
II
|
Neutral (Yellow)
|
Guideline adherence
|
Process
|
ED-MD
|
Toth L., King KL., McGrath B., Balogh ZJ. Efficacy and safety of emergency non-invasive pelvic ring stabilisation. Injury 2012; 43(8):1330-1334. Medline
|
|
III
|
Supportive (Green)
|
Intraperitoneal pressure
|
Patient
|
SIM
|
Bottlang M., Simpson T., Sigg J., Krieg J., Madey S., LongW. Noninvasive Reduction of Open-Book Pelvic Fractures by Circumferential Compression. J Ortho Trauma 2002; 16(6):367-73. Medline
|
|
III
|
Supportive (Green)
|
Effective injury reduction
|
Patient
|
SIM
|
Knops SP., Schep NW., Spoor CW., van Riel MP., Spanjersberg WR., Kleinrensink GJ.,
et al. Comparison of three different pelvic circumferential compression devices:
a biomechanical cadaver study. J Bone Joint Surg Am 2011; 93:230–40. Medline
|
|
III
|
Supportive (Green)
|
Reduction in pelvic width
|
Patient
|
ED-MD
|
Krieg JC., Mohr M., Ellis TJ., Simpson TS., Madey SM., Bottlang M. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: A clinical trial. J Trauma 2005; 59(3):659-64. Medline
|
|
III
|
Supportive (Green)
|
Blood pressure
|
Patient
|
PH-Paramedic
|
Vermeulen B., Peter R., Hoffmeyer P., Unger PF. Prehospital stabilization of pelvic dislocations: A new strap belt to provide temporary hemodynamic stabilization. Swiss Surg 1999; 5(2):43-46. Medline
|
|
III
|
Neutral (Yellow)
|
Successful reduction and stabilization
|
Patient
|
PH-Paramedic
|
Quereshi A., McGee A., Cooper JP., et al. Reduction of the posterior pelvic ring by
non-invasive stabilisation: a report of two cases. Emerg Med J 2005; 22:885–6. Medline
|
|
III
|
Opposes (Red)
|
Accuracy of placement
|
Process
|
PH-Paramedic
|
Bonner TJ., Eardley WG., Newell N., et al. Accurate placement of a pelvic binder improves reduction of unstable fractures of the pelvic ring. J Bone Joint Surg Br 2011; 93:1524–8. Medline
|
|
III
|
Opposes (Red)
|
Pressures and pressure distribution
|
Patient
|
SIM
|
Jowett AJ., Bowyer GW. Pressure characteristics of pelvic binders. Injury 2007; 38:118–21. Medline
|
|
III
|
Opposes (Red)
|
Exerted Surface Pressures
|
Process
|
SIM
|
Knops SP., van Riel MP., Goossens RH., et al. Measurements of the exerted pressure by pelvic circumferential compression devices. Open Orthop J 2010; 4:101–6. Medline
|