Introduction: Pelvic injuries are relatively rare. They appear in 3% of all skeletal injuries. Mostly we talk about high energy fracture, that can occur in an accident or a fall from a height. Low energy pelvic injuries mostly happened to elderly people, and are caused by a standing height. The worst result of pelvic fracture is bleeding. Emergency medical procedures in prehospital settings on fractured pelvis are very limited. The first procedure from an emergency medical service (EMS) team members is pelvic immobilisation with the pelvic splint. Medical care of a seriously injured patient is very important in the prehospital settings. It is crucial in the overall medical treatment of the patient. EMS team members must have a good knowledge of implementing protocols for the medical treatment of injured patients. In the Republic of Slovenia, all prehospital emergency medical departments use the International Trauma Life Support (ITLS) standards and protocols. Purpose: The thesis aims to present the medical treatment of a pelvic injury using a pelvic splint provided by prehospital EMS team members. The diploma study will also present the ITLS trauma patient assessment, which helps the EMS personnel to thoroughly and quickly inspect the injured person. Methods: A descriptive work method was used in the preparation of the diploma thesis. The work is based on a review of freely available literature from 2006 to 2019. We used the following keywords to find the literature: pelvic girdle, pelvic injury, pelvis. The articles were searched on the pages of the electronic databases: MEDLINE, PubMed, COBISS.SI, with the help of the DiKul search engine and in proceedings on selected topics. Results: Immobilization is crucial in damaging the pelvis. An aid that medical staff help immobilize is the pelvic binder. The placement of the pelvic binder reduces or even stops the bleeding, strengthens the pelvic ring, which prevents additional movement of the injured person, thereby reducing pain and, at the same time, reducing the possibility of tearing of the coagula. Discussion and conclusion: The prehospital medical care and treatment of an injured person in the field are of paramount importance to his of her continued medical condition. A damaged pelvic can cause severe bleeding, and the injured person may lose up to 3 litres of blood, so prompt action by the EMS team is imperative. All members of the emergency medical team must be well aware of the treatment protocol, which is standardised and systematic. Installing the pelvic splint produces additional movements of the pelvis, which is of course not conducive to injury, but the benefit of correctly installing the pelvic splint is greater.
|