Mechanical assessment of proprietary and improvised pelvic binders for use in the prehospital environment.

Autor:	Howe TJ; Department of Bioengineering, Imperial College London, London, UK.; Army Medical Service 16 Medical Regiment, Colchester, UK., Claireaux H; Department of Bioengineering, Imperial College London, London, UK.; Army Medical Service, Camberley, Surrey, UK., Fox H; Department of Bioengineering, Imperial College London, London, UK., Morgan G; Department of Bioengineering, Imperial College London, London, UK., McMenemy L; Department of Bioengineering, Imperial College London, London, UK.; Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK., Masouros SD; Department of Bioengineering, Imperial College London, London, UK s.masouros04@imperial.ac.uk., Ramasamy A; Department of Bioengineering, Imperial College London, London, UK.; Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK.
Jazyk:	angličtina
Zdroj:	BMJ military health [BMJ Mil Health] 2023 Aug 04. Date of Electronic Publication: 2023 Aug 04.
DOI:	10.1136/military-2023-002398
Abstrakt:	Introduction: Pelvic fractures often result from high-energy trauma and are associated with a 10% mortality rate and significant morbidity. Pelvic binders are applied in suspected pelvic injury to stabilise fractured bone, decrease bleeding and potentiate tamponade. A binder must hold the pelvis with sufficient force for this effect to be achieved. This study aims to quantify the ability of proprietary and improvised pelvic binders to hold a target tensile force over time. Methods: The ability of three proprietary and three improvised binders to hold a binding force for 2 hours was tested. A uniaxial materials testing machine was used to tension each binder to 150 N and then hold the displacement for 2 hours; the drop in tension over time was recorded for each binder. The ability to hold tension above 130 N after 2 hours was set as the metric of binder performance. Results: The median tension at 2 hours was above 130 N for the SAM Pelvic Sling II and T-POD Pelvic Stabilisation Device and was below 130 N for the Prometheus Pelvic Splint, field-expedient pelvic splint (FES) and the Personal Clothing System-Multi-Terrain Pattern Combat Trousers binders. The tension in the improvised FES after 2 hours was approximately at the target 130 N; however, in 40% of the tests, it held above 130 N. Conclusions: Binders varied in their ability to maintain sufficient tension to treat a pelvic fracture over the 2-hour testing period. The FES performed well under our testing regime; with relatively low cost and weight, it represents a good alternative to proprietary binders for the austere environment. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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