ASTM F2428-04
(Guide)Standard Guide for Selection and Use for Pelvic Ring Circumferential Compression Stabilization Devices (PRCCSD)
Standard Guide for Selection and Use for Pelvic Ring Circumferential Compression Stabilization Devices (PRCCSD)
SIGNIFICANCE AND USE
The intent of this guide is to identify the general performance and good practice standards that a pelvic ring circumferential compression stabilization device (PRCCSD) should possess.
Currently, a number of base platforms such as full-body spinal immobilization devices (long boards) are used to immobilize patients during transport and before definitive treatment. These platforms limit gross movements of the spine and pelvis but do not specifically reduce and stabilize disruptions of the pelvic ring. The PRCCSD applied circumferentially about the patient exerts a compressive force to reduce and stabilize disruptions of the pelvic ring.
The PRCCSD may be used alone but, according to clinical situations, will commonly be used in conjunction with different supporting base platforms during transport and before definitive treatment.
The PRCCSD, when circumferentially applied, should be centered at the level of the greater trochanters and symphsis pubis.3
A device intended for use with adult patients shall accommodate the 95th percentile adult American male.2
The device should be able to be applied by a single practitioner.
SCOPE
1.1 This guide establishes minimum standards for devices designated here as pelvic ring circumferential compression stabilization devices(s) (PRCCSD), commonly known as pelvic slings, belts, or binders. The PRCCSD is used as the initial pelvic ring stabilization device on patients suspected of having sustained traumatic disruptions of the pelvic ring. It is used during patient transport by emergency personnel and before definitive treatment.
1.2 This guide addresses the recognized need to reduce and stabilize pelvic ring disruptions through the use of circumferential compression devices.
1.3 Peer-reviewed medical literature does describe specific testing methods used to determine the range of effective compression force, efficacy in reduction, stability, and safety for a particular (PRCCSD). This guide, however, does not identify specific testing methods as it is recognized such methods could vary according to device configuration and study design.
1.4 This guide does not address individual quantitative performance standards for any particular device, but does address general performance standards and good practice characteristics for all devices using circumferential compression to reduce and stabilize disruptions of the pelvic ring.
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and to determine the applicability of regulatory limitations prior to use.
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Standards Content (Sample)
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Designation:F2428–04
Standard Guide for
Selection and Use for Pelvic Ring Circumferential
Compression Stabilization Devices (PRCCSD)
This standard is issued under the fixed designation F2428; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope 2.1.4 disruption of the pelvic ring, n—any traumatic altera-
tionofthenormalanatomicrelationshipsofthebonystructures
1.1 This guide establishes minimum standards for devices
forming the pelvic ring. Included in these disruptions are
designated here as pelvic ring circumferential compression
fractures, dislocations, subluxation, and diastasis.
stabilization devices(s) (PRCCSD), commonly known as pel-
2.1.5 effective level of force, n—that range of quantified
vic slings, belts, or binders. The PRCCSD is used as the initial
force required by the particular pelvic ring circumferential
pelvic ring stabilization device on patients suspected of having
compression stabilization device (PRCCSD) to reduce and
sustained traumatic disruptions of the pelvic ring. It is used
th
stabilize disruptions of the pelvic ring in the 95 percentile of
during patient transport by emergency personnel and before
adult American males.
definitive treatment.
2.1.6 immobilization, n—limitation of motion.
1.2 This guide addresses the recognized need to reduce and
2.1.7 pelvic ring, n—normal anatomic ring-shaped structure
stabilize pelvic ring disruptions through the use of circumfer-
formedbythreebones:twoinnominatebones(eachmadeupof
ential compression devices.
the ilium, ischium, and pubis) and the sacrum.
1.3 Peer-reviewed medical literature does describe specific
2.1.8 reduction, n—returning anatomic structures to their
testing methods used to determine the range of effective
normal anatomic position.
compression force, efficacy in reduction, stability, and safety
2.1.9 retention system, n—an adjunct to or an integral part
for a particular (PRCCSD). This guide, however, does not
of the primary platform that allows the patient to be securely
identify specific testing methods as it is recognized such
attached to that platform, used in whatever configuration and
methods could vary according to device configuration and
size necessary to accomplish the goal, while still allowing
study design.
reasonable and necessary access to the patient.
1.4 This guide does not address individual quantitative
2.1.10 safe level of circumferential compression force,
performance standards for any particular device, but does
n—that range of quantified force producing a resultant effect in
address general performance standards and good practice
which no undue alteration of the normal anatomic relationship
characteristics for all devices using circumferential compres-
of the pelvic ring occurs.
sion to reduce and stabilize disruptions of the pelvic ring.
2.1.11 stabilize, v—maintaining in a firm, constant, or fixed
1.5 This standard does not purport to address all of the
state.
safety concerns, if any, associated with its use. It is the
2.1.12 spinal immobilization system, n—device(s) that im-
responsibility of the user of this standard to establish appro-
mobilize the spine and contiguous structures, the pelvis, and
priate safety and health practices and to determine the
the skull.
applicability of regulatory limitations prior to use.
3. Significance and Use
2. Terminology
3.1 The intent of this guide is to identify the general
2.1 Definitions:
performance and good practice standards that a pelvic ring
2.1.1 circumferential compression force, n—influence that
circumferential compression stabilization device (PRCCSD)
deforms an object by shortening its circumference.
should possess.
2.1.2 compression force, n—influence that deforms an ob-
3.2 Currently, a number of base platforms such as full-body
ject by making it smaller or shorter.
spinal immobilization devices (long boards) are used to immo-
2.1.3 controlled level of force, n—force confined within
bilize patients during transport and before definitive treatment.
certain defined limits.
These platforms limit gross movements of the spine and pelvis
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
Equipment. The Handbook of Adult Anthropometric and Strength Measurements Data for
Current edition approved Oct. 1, 2004. Published October 2004. DOI: 10.1520/ Design Safety, University of Nottingham, University Park, Nottingham NG7 2RD
F2428-04. United Kingdom.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
F2428–04
but do not specifically reduce and stabilize disruptions of the 4.12 The PRCCSD, when applied, shall not alter the posi-
pelvic ring. The PRCCSD applied circumferentially about the tion of the patient’s spine.
patient exert
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