Thread subject: NEPI :: Pelvic Trauma

Posted by maroju on 01-08-2008 15:23
#5

I fully agree with some form of pelvic splintage (blanket / towel / broad strappings / Sam Splints / indegenously built pelvic splints etc). But I think that it is good practice to apply the splintage immaterial of whether the patient is on spinal board or not if there is suspicion of pelvic injury!!!

If the aim of minimising pelvic movement is to preserve the clot / prevent further pelvic bleeding, I am not entirely convinced of the need for a log-roll when there is suspected significant pelvic injury. Yes it is an essential part of secondary survey. But the total time of your primary survey gets prolonged until the pelvis has been reasonably stabilised (as part of C in C-ABCDE!!!).

Off late, use of long spinal boards as tools for transfer has been strongly discouraged. This is purely used as an extrication device at the scene of incident. We use 'scoop-stretchers' for transfers (I am mindful that many centres may not have them!!!). The spinal boards being absolutely hard and flat, are not suited to conform to the contours of the spinal column, let alone the pain this would cause the patient. Also with the use of these scoops, movement of pelvis and spine could be reduced to bare minimum (which is not possible with a spinal-board!!!).

Edited by maroju on 18-08-2008 20:15