Pre-hospital Advanced Therapies for Control of Hemorrhage - Pelvis

The goal of this prospective, randomized clinical trial is to determine whether prehospital
use of a commercial pelvic binder will improve morbidity and mortality in patients with
pelvic fractures. We hypothesize that prehospital placement of pelvic binders will reduce
hemorrhage and need for resuscitation and will improve overall mortality in patients with
pelvic fractures. In addition, we hypothesize that pelvic splinting via external compression
will improve patients' pain regardless of whether they have a pelvic, acetabular, or proximal
femur fracture.

Inclusion Criteria:

- Traumatic injury other than ground-level fall, and

- Complaint of pelvic groin or hip pain, or

- Pelvic or hip deformity, ecchymosis, or crepitus in an obtunded patient, or

- Hemodynamic instability

Exclusion Criteria:

- Ground level fall

- Penetrating pelvis injury without frank evidence of fracture

- Obviously pregnant patients

- Patients who are too small or too big for the binder

- Priority 2 or 3 Trauma