Pelvic Fracture
Conditions
Brief summary
The objective of this study is to evaluate the effect of earlier placement of Circumferential Pelvic Compression (CPC) on resuscitative measures required for life-threatening pelvic ring injuries and to guide the development of future efficacy trials of three advanced resuscitation techniques (surgical pelvic packing, angioembolization, REBOA).
Interventions
PROCEDUREApplication of circumferential pelvic compression (CPC) device
Application of circumferential pelvic compression (CPC) device used at any time within 24 hours of injury
Sponsors
Major Extremity Trauma Research Consortium
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Patient age between 18 and 64 years, inclusive; * Severe blunt or blast traumatic injury; * Young-Burgess APC-2 and 3, LC-3, vertical shear, and combined mechanism of injury (CMI) (Tile B and C patterns; OTA codes 61-B and 61-C); * Circumferential pelvic compression (CPC) device used at any time within 24 hours of injury. * Patient must speak either English or Spanish
Exclusion criteria
* Arrival to hospital of definitive care more than 6 hours after injury; * Ballistic pelvic injury, other than from a blast mechanism; * Time of CPC placement not recorded; * Time of injury and time of EMS dispatch unknown; * Use of medical anti-shock trousers (MAST); * Confirmed dead on arrival to hospital
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic stabilization and resuscitative techniques | 24 hours | We will document any techniques used to stabilize and/or resuscitate the pelvic injury within the first 24 hours |
| Blood products | 24 hours | We will document the volume of any blood products given within the first 24 hours following injury |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ventilator days | 24 hours | Number of days that patient spends on a ventilator will be documented |
| ICU days | 24 hours | Number of days spent in the ICU will be documented |
| GCS (Glascow Coma Score) | 24 hours | The GCS is a neurological scale to assess for brain injury. The score is composed of three parts: eyes, verbal and motor. Each component has a different scale. Eyes (1-4), verbal (1-5) and motor (1-6). The sum of all three components result in the overall GCS score (3-15). The higher the score, the less likelihood of brain injury |
| Length of hospital stay | 24 hours | Number of days spent in the hospital will be documented |
| Blood loss | 24 hours | Total blood volume loss will be calculated within the first 24 hours following injury |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 1 month | Any deaths that occur between index hospitalization and 30 days post-injury will be documented |
Countries
United States
Outcome results
None listed