Combat Trousers as Effective Improvised Pelvic Binders A Comparative Cadaveric Study

尸体痉挛 尸体 医学 骨盆骨折 外科 解剖 骨盆
作者
A. Loftus,Rhys Morris,Yasmin Friedmann,Ian Pallister,Paul Parker
出处
期刊:Journal of special operations medicine : a peer reviewed journal for SOF medical professionals 卷期号:17 (3): 35-35 被引量:3
标识
DOI:10.55460/1p7e-2ol4
摘要

Improvised explosive devices and landmines can cause pelvic fractures, which, in turn, can produce catastrophic hemorrhage. This cadaveric study compared the intrapelvic pressure changes that occurred with the application of an improvised pelvic binder adapted from the combat trousers worn by British military personnel with the commercially available trauma pelvic orthotic device (TPOD).Six unembalmed cadavers (three male, three female) were used to simulate an unstable pelvic fracture with complete disruption of the posterior arch (AO/OTA 61-C1) by dividing the pelvic ring anteriorly and posteriorly. A 3-4cm manometric balloon filled with water was placed in the retropubic space and connected to a 50mL syringe and water manometer via a three-way tap. A baseline pressure of 8cm H2O (average central venous pressure) was set. The combat trouser binder (CTB) and TPOD were applied to each cadaver in a random sequence and the steady intrapelvic pressure changes were recorded. Statistical analysis was performed using the Wilcoxon rank-sum test and a paired t test depending on the normality of the data to determine impact on the intrapelvic pressure of each intervention compared with baseline.The median steady intrapelvic pressure achieved after application of the CTB was 16cm H2O and after application of the TPOD binder was 18cm H2O, both of which were significantly greater than the baseline pressure (ρ < .01 and .036, respectively) but not significantly different from each other (ρ > .05).Pelvic injuries are increasingly common in modern theaters of war. The CTB is a novel, rapidly deployable, yet effective, method of pelvic binding adapted from the clothes the casualty is already wearing. This technique may be used in austere environments to tamponade and control intrapelvic hemorrhage.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
影子芳香完成签到 ,获得积分10
1秒前
2秒前
2秒前
不必要再讨论适合与否完成签到,获得积分0
3秒前
无情夏寒完成签到 ,获得积分10
4秒前
慕青应助马士全采纳,获得10
5秒前
xuzj应助科研通管家采纳,获得10
5秒前
Rubby应助科研通管家采纳,获得30
6秒前
SciGPT应助科研通管家采纳,获得10
6秒前
6秒前
6秒前
shiizii应助科研通管家采纳,获得10
6秒前
6秒前
6秒前
6秒前
ludong_0应助科研通管家采纳,获得10
6秒前
YeeYee发布了新的文献求助10
6秒前
冷酷的松思完成签到,获得积分10
6秒前
zgt01发布了新的文献求助10
7秒前
zhang完成签到,获得积分10
7秒前
江中完成签到 ,获得积分10
9秒前
9秒前
阿玖完成签到 ,获得积分10
10秒前
jiaolulu发布了新的文献求助10
12秒前
踏雪飞鸿完成签到,获得积分10
13秒前
hannah完成签到,获得积分10
13秒前
songvv发布了新的文献求助10
14秒前
一一一应助Bin_Liu采纳,获得10
15秒前
麻果完成签到,获得积分10
17秒前
OER完成签到,获得积分10
17秒前
伦语完成签到,获得积分20
17秒前
中陆完成签到,获得积分10
18秒前
19秒前
莫西莫西完成签到,获得积分10
21秒前
23秒前
量子星尘发布了新的文献求助10
24秒前
xjh完成签到,获得积分10
24秒前
24秒前
lbnzd8g完成签到,获得积分10
26秒前
中海完成签到,获得积分10
26秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038201
求助须知:如何正确求助?哪些是违规求助? 3575940
关于积分的说明 11373987
捐赠科研通 3305747
什么是DOI,文献DOI怎么找? 1819274
邀请新用户注册赠送积分活动 892662
科研通“疑难数据库(出版商)”最低求助积分说明 815022