Pelvic Binding (TPOD)

Question 1

Intro

Answer 1

If a pelvic injury is suspected or theres is a high MOI in an unconscious trauma paitent, the pelvis should be bound w/ a TPOD.

Binding the pelvis reduces volume (creating a tamponade effect), stabilizes fracture fragments (reducing hemorrhage from the fracture sites) and improves pt comfort

The TPOD is not indicated for an isolated neck of femur fracture (hip fracture)

Question 2

Indications

Answer 2

Major mechanism suggestive of pelvic fracture and any of the following

• Hemodynamic instability (HR >100, SBP <90)
• Pelvic pain on exam
• Pelvic instability
• Decreased LOC
• Major injury distracting from pelvic exam

Question 3

Contraindications

Answer 3

• NOT for hip fractures

- Simple falls (from standing)

Question 4

Procedure

Answer 4

1. Remove the pt’s clothing. Ideally, the TPOD should be in direct contact w/ skin
2. Slide Belt under supine pt and into pt under the pelvis w/ the center of the belt aligning w/ the greater trochanter
3. Trim the belt, leaving a 6-8’ gap over the center of the pelvis
4. Apply Velcro tension straps/bands
5. Slowly draw tension, creating simultaneous, circumferential compression
6. Record the date and time of application
7. Secure the belts/bands to ensure constant pressure w/o accidental release
8. If req’d to release or release occurs time should also be noted
9. Remember to document the app in Siren: Major Trauma&raquo_space; Intervention: Circulation