Prolonged Field Care Podcast 173: Deep Dive on Pelvic Injury

In this episode, Dennis and Alex discuss the truth about pelvic binders and their relevance in trauma care. They explore the background and experience of Alex, who has extensive knowledge in trauma surgery. They delve into the anatomy and injury patterns of pelvic fractures, as well as the different phases of damage control surgery. They also discuss the importance of understanding research and the levels of evidence. The conversation highlights the contradictory evidence surrounding the use of pelvic binders and emphasizes the need to critically evaluate citations and research findings. This conversation covers blast injuries, types of pelvic fractures, mortality rates, considerations for prolonged field care (PFC), the flow of care in PFC, normalization and observation, initial stabilization, massive transfusion protocol, futile transfusions, clinical decision making, pelvic binder design, imaging challenges, ultrasound for pelvic fracture assessment, duration of pelvic binder use, preventing pressure sores, consulting with medical professionals, proper application of pelvic binder, retroperitoneal hemorrhage, the role of telemedicine, critical care and decision making, and resources for further learning.

Takeaways
Understanding the anatomy and injury patterns of pelvic fractures is crucial in trauma care.
The levels of evidence in research range from high-quality studies to expert opinions.
The use of pelvic binders in trauma care is a topic of debate, with conflicting evidence and opinions.
It is important to critically evaluate citations and research findings to make informed decisions in patient care. Understanding blast injuries and the different types of pelvic fractures is crucial in providing effective care in PFC.
Mortality rates for pelvic fractures vary depending on the severity of the injury and associated injuries.
Clinical decision making in PFC requires a thorough understanding of the patient's condition and available resources.
Proper application and duration of pelvic binder use are important considerations in PFC.
Consulting with medical professionals and seeking skeptics' opinions can help in making informed decisions in PFC.

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