Pre-hospital treatment focuses on external stabilization of the pelvic ring to reduce internal volume, bleeding, and pain. Rapid litter transport to a major hospital for definitive evaluation and surgery is essential for survival.
Two methods of improvising an effective pelvic splint are show below. Focus on understanding the structural concepts; the materials you use will vary depending on what is available.
- Use strips of cloth to tie the patient's feet together. This internally rotates the patient's hips, reduces internal pelvic volume, and helps increase the splint's overall stability.
- Carefully lift the patient and center a folded tarp (or other tough material) over the femoral trochanters and pubis; correct placement is critical.
- Pull, maintain tension, and using heavy-duty blanket pins, secure in place.
- If available, consider placing a thin inflatable sleeping pad between the tarp and the patient; inflate the sleeping pad after pinning to increase stability.
- Carefully lift the patient and secure them in a litter for transport.
Method 2: Pelvic Corset
1 of 3: Introduction
2 of 3: Assessment