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academies
Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
Background
: In polytrauma patients, to limit the pelvic
space favoring internal bleeding, the use of pelvic binders
is now a standard practice. In case of external pelvic binder
placement with anatomic reduction of the symphyseal and
sacroiliac joints, delayed diagnosis and missed injuries could
occur.
Aim
: The aim of this study was to document the risk of
missed diagnosis, as well as to identify a possible algorithm
for optimal management of traumatized patients with
pelvic binders, in order to reach an early diagnosis of pelvic
fractures without additional risks.
Case Report
: We report three cases of open book pelvic
fractures that were initially missed. The external pelvic
binders applied had adequately reduced the fractures. The
computed tomography on arrival excluded a diastasis of
the symphysis pubis. On removal of the pelvic binder and
repetition of the radiological imaging, the fractures were
evidenced.
Conclusions
: We have accordingly created an algorithm for
polytrauma patients to determine when the pelvic binder
should be released prior to radiological imaging and when
repeated radiological imaging should be done. The use of
this algorithm in trauma centers will help reduce the number
of missed injuries and the numbers of late diagnoses as well
as increase the patient survival rates.
e:
nermine.emad@gmail.comAn algorithm to avoid missed open-book pelvic fractures
Nermine Habib
Lugano Regional Hospital, Switzerland