Pelvic stabilization can be initially accomplished with a circumferential compression device or pelvic binder. In unstable pelvic fractures 70% of the hemorrhage is related to low pressure venous bleeding that fills available space. Pelvic binders reduce the pelvic volume and aid in clot formation for this type of injury pattern.12

A retrospective review on civilian trauma patients with unstable pelvic fractures demonstrated that patients who had prehospital pelvic binders required fewer blood products during resuscitation and had a shorter length of hospital stay. 14