episode 4: pelvic fractures- peaky binders (the lost tapes)
We start by talking about the repercussions of doing a podcast.Pete then gives Kash closure as they discuss everything you could ever possibly want to know about binders (its not as dull as it sounds, honest).They cover (amongst some other stuff) :where does the bleeding come from in pelvic fracturesthe nursery rhyme of the human centipedehow do binders actually workhow tight is too tightshould you use a binder in a vertical shear pelvic fracturethe implications of open pelvic fractures (v v bad)the problems with binderswhen to take binders off.Chapter timings:00:04:13 intro to pelvic binders00:04:49 the evidence for binders00:05:37 where should a pelvic binder be applied00:06:33 how tight is too tight00:07:29 the 3 ways binders work00:09:25 where does the bleeding come from00:11:38 soft tissue injuries00:13:20 central venous pressure in trauma00:13:45 dramatic pause00:14:45 the case of the vertical shear pelvic #00:15:39 Pete didn't have a telly00:18:05 life-threatening open pelvic fractures00:23:28 working with David Sellu00:25:29 the problem with pelvic binders00:26:28 when to take binders off00:29:19 final take-home message (yes he does say it again)