Equipment 8-648 - Pelvic Binder

CMH EMS & MIH Protocols

Scope of Practice:

Emergency Medical Responder
Emergency Medical Technician
Advanced Emergency Medical Technician
Registered Nurse
Paramedic

Indications:

Suspected pelvic instability.
Mechanism of injury to indicate possible pelvic fractures where pelvic binder application would reduce blood loss into the pelvis.

Contraindications:

Children under 50 lbs (23kg) may be too small to obtain the 6 inch gap needed for closure.

Precautions:

Single use only
Obese patient requires T-POD, two belts may be affixed together using one power unit as an extender and the other as the pulley.
T-POD could be replaced when soiled or after 24 hours of use.

Procedure:

Slide belt under supine patient and into position under the pelvis.
Center of the belt MUST be located over the greater trochanter of the femurs, not over the iliac crest.
Trim the belt or fold belt, leaving a 6-8” gap over the center of the pelvis.
Apply Velcro-backed mechanical advantage pulley system to each side of the belt.
Slowly draw tension on the pull tab, creating simultaneous, circumferential compression.
Amount of compression may vary per patient. 6-8” gap may close with compression.
Secure the Velcro-backed pull tab to the belt.
Record the date the time of application on the space provided.
Circumferential compression should be released every 12 hours to check for skin integrity and provide wound care, as necessary. To re-tighten, draw Velcro-backed pull tab, secure and attach to belt.
T-POD release time should be noted on the label.

Citations:

Protocol 9-010 - References

Change Log:

Date	Link to previous version	Description of change
07/04/20		Created this section for future content.
06/15/21	pdf	Moved to emsprotocols.online

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