One of the more common life threatening injuries seen in motor vehicle and industrial accidents is a fracture of the pelvis. This injury, particularly if severe, causes major bleeding internally resulting in many deaths as the bleeding is difficult to control. This is particularly pertinent in the pre-hospital setting, where ambulance personnel either do not have the expertise to diagnose a fractured pelvis or do not have the means to control the bleeding.
Definitive treatment of a fractured pelvis remains fixation of the fracture in theatre by an orthopaedic surgeon. However, delay in this definitive treatment is often very long due to on-scene stabilisation by ambulance personnel, further investigation and X-rays in the Trauma Units and delays in arranging theatre time etc.
Stabilisation is essential and internationally no adequate means are available. It is recommended that a sheet is tied around the patient’s pelvis or a MAST suit is used (this is an expensive piece of equipment with many complications and is seldom available). Major trauma units around the world are still using torn up sheets to save lives!
PELVIGRIP has been designed to be a cheap, effective and life saving device. It consists of a neoprene sling pulled together by neoprene belts and held in place by Velcro. Apart from being very effective in maintaining the stability of a fractured pelvis (and hence controlling life threatening haemrrohage) it also allows insertion of urinary catheters either urethral or suprapubic. In addition the neoprene acts as a protective cushion over the sacrum which would otherwise be prone to pressure necrosis from long periods on a wooden spine board and scoop stretcher.
It would appear that at present, no device exists anywhere in the world which provides all the above.
AVAILABLE IN SMALL, MEDIUM, LARGE and as a complete set.
Pelvic fractures are generally poorly managed in the acute phase resulting in high mortality and morbidity. Technical difficulties in immobilisation have been the major cause for this, but PELVIGRIP is now available which makes initial management much easier.
- Easy to apply
- Controls internal haemorrhage
- Protects sacrum from pressure necrosis
- Need not be removed for suprapubic catheterization
- Very cost effective
- 100% X-ray translucent
- Various sizes