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Pelvic Binder Placement Crucial
- Bind the pelvis early in trauma patients with suspected internal bleeding to help control venous hemorrhage.
- Apply the pelvic binder low, around the greater trochanters, not over the iliac wings for effective compression.
Pelvic Binding Strategy
- For any sick trauma patient, consider applying a pelvic binder over the greater trochanters without delay.
- Avoid rocking or vertical stress on the pelvis; hold it closed manually until the binder is secured.
Selective Vaginal and Rectal Exams
- Vaginal and rectal exams are mainly useful to detect open injuries impacting antibiotic decisions.
- Avoid delaying transfer for these exams unless extended travel time demands early detection.