ASTM_F_2428_-_04_2011.pdf

Designation:F242804(Reapproved 2011)Standard Guide forSelection and Use for Pelvic Ring CircumferentialCompression Stabilization Devices(PRCCSD)1This standard is issued under the fixed designation F2428;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon()indicates an editorial change since the last revision or reapproval.1.Scope1.1 This guide establishes minimum standards for devicesdesignated here as pelvic ring circumferential compressionstabilization devices(s)(PRCCSD),commonly known as pel-vic slings,belts,or binders.The PRCCSD is used as the initialpelvic ring stabilization device on patients suspected of havingsustained traumatic disruptions of the pelvic ring.It is usedduring patient transport by emergency personnel and beforedefinitive treatment.1.2 This guide addresses the recognized need to reduce andstabilize pelvic ring disruptions through the use of circumfer-ential compression devices.1.3 Peer-reviewed medical literature does describe specifictesting methods used to determine the range of effectivecompression force,efficacy in reduction,stability,and safetyfor a particular(PRCCSD).This guide,however,does notidentify specific testing methods as it is recognized suchmethods could vary according to device configuration andstudy design.1.4 This guide does not address individual quantitativeperformance standards for any particular device,but doesaddress general performance standards and good practicecharacteristics for all devices using circumferential compres-sion to reduce and stabilize disruptions of the pelvic ring.1.5 This standard does not purport to address all of thesafety concerns,if any,associated with its use.It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and to determine theapplicability of regulatory limitations prior to use.2.Terminology2.1 Definitions:2.1.1 circumferential compression force,ninfluence thatdeforms an object by shortening its circumference.2.1.2 compression force,ninfluence that deforms an ob-ject by making it smaller or shorter.2.1.3 controlled level of force,nforce confined withincertain defined limits.2.1.4 disruption of the pelvic ring,nany traumatic altera-tion of the normal anatomic relationships of the bony structuresforming the pelvic ring.Included in these disruptions arefractures,dislocations,subluxation,and diastasis.2.1.5 effective level of force,nthat range of quantifiedforce required by the particular pelvic ring circumferentialcompression stabilization device(PRCCSD)to reduce andstabilize disruptions of the pelvic ring in the 95thpercentile ofadult American males.22.1.6 immobilization,nlimitation of motion.2.1.7 pelvic ring,nnormal anatomic ring-shaped structureformed by three bones:two innominate bones(each made up ofthe ilium,ischium,and pubis)and the sacrum.2.1.8 reduction,nreturning anatomic structures to theirnormal anatomic position.2.1.9 retention system,nan adjunct to or an integral part ofthe primary platform that allows the patient to be securelyattached to that platform,used in whatever configuration andsize necessary to accomplish the goal,while still allowingreasonable and necessary access to the patient.2.1.10 safe level of circumferential compression force,nthat range of quantified force producing a resultant effect inwhich no undue alteration of the normal anatomic relationshipof the pelvic ring occurs.2.1.11 stabilize,vmaintaining in a firm,constant,or fixedstate.2.1.12 spinal immobilization system,ndevice(s)that im-mobilize the spine and contiguous structures,the pelvis,andthe skull.1This guide is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.01 on EMSEquipment.Current edition approved July 1,2011.Published September 2011.Originalapproved in 2004.Last previous edition approved in 2004 as F242804.DOI:10.1520/F2428-04.2The Handbook of Adult Anthropometric and Strength Measurements Data forDesign Safety,University of Nottingham,University Park,Nottingham NG7 2RDUnited Kingdom.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 3.Significance and Use3.1 The intent of this guide is to identify the generalperformance and good practice standards that a pelvic ringcircumferential compression stabilization device(PRCCSD)should possess.3.2 Currently,a number of base platforms such as full-bodyspinal immobilization devices(long boards)are used to immo-bilize patients during transport and before definitive treatment.These platforms limit gross movements of the spine and pelvisbut do not specifically reduce and stabilize disruptions of thepelvic ring.The PRCCSD applied circumferentially about thepatient exerts a compressive force to reduce and stabilizedisruptions of the pelvic ring.3