Basi karilen sabatili, lamini sirili, ani kɔnɔna joli bɔli¶

banakisɛ kari min fanga ka bon, o ye joginw dɔ ye minnu bɛ mɔgɔ faga kosɛbɛ joginda furakɛli la, a bɛ saya hakɛ ta kɛmɛsarada la 15 fo 50 ni a ni joli seginbaliya bɛ taa ɲɔgɔn fɛ. A tɛ i n’a fɔ kolo jan i n’a fɔ senkɔni walima bolokɔni, hadamaden kɔkolo ye kolotuguda gɛlɛn ye min bɛ kɛ ni kolo belebele fila ye minnu tɛ innomina (kɔkɔ) ye minnu bɛ fara ɲɔgɔn kan ɲɛfɛ pubic symphysis la ani ka siri kɔ la sacrum la farikolo kɔnɔ ligament barikamaw fɛ. Ni mobili teliyaba dɔ binna, ni moto ye ɲɔgɔn gosi (yɔrɔ min na basibɔn bɛ sɔgɔsɔgɔ ka taa ɲɛfɛ ka don tulubɔlan kɔnɔ), sennamɔgɔw ye a gosi, ka joginni kɛ ka a sɔgɔ, walima ni a binna ka bɔ sanfɛ ka nin bololanɛgɛ in kari yɔrɔ fila la ka kɔfɛla sɔgɔsɔgɔninjɛ tigɛ, basibɔn bɛ da wuli i n’a fɔ gafe datugulanw (an "open-book" pelvic fracture).

Ni kolotuguda bolokɔni da wulilen don, a kɔnɔna sɛrɛkili hakɛ bɛ bonya kosɛbɛ, o bɛ kɛ sababu ye ka kɔkolo kɔkanna yɔrɔba dɔ dilan min bɛ se ka joli mililitiri 3000 fo 5000 (pinti 6 fo 10) munumunu (banabagatɔ ka joli hakɛ bɛɛ min bɛ lamini) k’a sɔrɔ joli kelen ma bɔ fari kɔkan. Min ka jugu ni o bɛɛ ye, o ye ko kisibaga minnu ka ŋaniya ka ɲi, olu ka teli ka basi-bɔnbanatɔw faga ni u bɛ kɔkiliw gɛrɛntɛ walima k’u lamaga walasa ka “sɛgɛsɛgɛli kɛ ni a karilen don” walima ni u bɛ banabagatɔ lamaga u kɛrɛ fɛ, o min bɛ kɔkolo joli kuru nɔgɔlenw tiɲɛ. Ni aw b’a dɔn mun na aw man kan ka senkɔni lamaga abada, mun na basibɔn sirilan walima dilan min dilannen don ni aw yɛrɛ ye, o ka kan ka kɛ cɛmancɛ la kosɛbɛ senkɔniw ka trochanters belebelebaw kan (ani aw kana abada sanfɛ ka tɛmɛ cɛsirilan walima kɔkiliw kan), ani ka gɛnɛgɛnɛw ni senkɔniw siri cogo min na kɔnɔna jiginni na, o bɛ basibɔn bololanɛgɛ datugu ani ka mɔgɔ kisi.

Aw bɛ o kɛ sisan¶

1. Aw bɛ aw ka sigida kɔrɔtɔko nimɔrɔ wele joona ani ka Advanced Life Support (ALS) dɛmɛbagaw ɲini walasa u ka teliya ka taa ni Level 1 Trauma Center ye. Aw bɛ 911 wele Ameriki ani Kanada, 112 Erɔpu tɔnba bɛɛ kɔnɔ, 999 Angletɛri, 000 Ɔsitarali, walima aw bɛ a ka kunnafonisɛbɛn lajɛ kɔrɔtɔko nimɔrɔw.
2. AW kana "spring" kɛ abada, ka kɔkolo kolo lamaga, ka u gɛrɛntɛ, walima ka u digidigi walasa ka a lajɛ ni basibɔn karilen don. Ni aw ye u gɛrɛ duguma walima ka don kɔnɔbara basigilen kan, o bɛ kolotugudaw sɔgɔ minnu bɛ se ka kɛ i n’a fɔ razɔri, ka tɛmɛ kɔkolo jolisira fɛ ani kɔkolo kɔnɔna joli siraw fɛ, ka joli kuru fɔlɔ nɔgɔlenw bɔ yen minnu bɛ banabagatɔ to a ka ɲɛnamaya. Ni jogincogo walima a taamasiɲɛw b’a jira ko basibɔn karilen don, aw bɛ a miiri ko basibɔn karilen don ka a siri.
3. AW kana abada log-roll kɛ mɔgɔ min bɛ siga ko basibɔn karilen don u kɛrɛ fɛ fo ni a fiɲɛbɔyɔrɔ datugulen don kosɛbɛ fɔɔnɔ walima joli fɛ. Ni aw ye mɔgɔ dɔ wuli ka a biri basibɔn karilen kɛrɛ fɛ, o bɛ kɔkiliw sɔgɔ ka taa kɔnɔna na ani ka kɔkolo kɔkanna joli siraw tigɛ. Aw bɛ banabagatɔ to a kɔ kan (a da la) ani ka kisilan caman kɛ ni wulilan ye min bɛ se ka wuli ka jɔ ("bridge lift") walima ni scoop stretcher ye ni lamaga tɛ se ka bali.
4. Aw bɛ jagokɛla ka Pelvic Binder (SAM Pelvic Sling, T-POD, walima Prometheus) walima Bedsheet Binder dabɔlen dɔ kɛ a cɛmancɛ la kosɛbɛ GREATER TROCHANTERS (kolo kurukuruw kɛnɛma sanfɛla cɛmancɛw/kɔkiliw la), aw kana a kɛ cɛsirilan walima sanfɛ kɔkiliw kan. Aw bɛ finimugu dabɔlen dɔ sɔgɔ ka ɲɛ gɛnɛgɛnɛw dingɛ jukɔrɔ ani k’a sama ka se trochanter belebelebaw ni pubic symphyse hakɛ ma, o bɛ senkɔniw kunkolow lawuli ka taa kɔnɔna na walasa ka "gafe da wulilen" cɛya datugu.
5. Aw bɛ sen fila bɛɛ wuli nɔgɔya la ka taa kɔnɔna na ("pigeon-toed") ka bandi walima pad-and-strap ja 8 siri gɛnɛgɛnɛw ni senkɔniw lamini na. Ikomi cɛya kolotuguda (senkɔni kun) bɛ sigi kɔkolo kɔnɔ (acetabulum), ka senw ni gɛnɛgɛnɛw wuli ka taa kɔnɔna na, o bɛ kɛ ni senkɔniw ye minnu ma tiɲɛ i n’a fɔ levers walasa ka senkɔniw tilalenw sama basibɔn bɛ ɲɔgɔn fɛ ka u bali ka segin ka wuli.
6. Aw bɛ banabagatɔ mara ka ɲɛ NPO (foyi tɛ da la) ka u siri ka bɔ a kun na ka taa a bila sen na ni finimugu sumalenw ye walasa ka farigan ni jolilabanaw bali. Banakɔtaa joli bɛ bɔ fɔlɔ joli la ni tansiyɔn dɔgɔman ye joli siraw ni kolotugudaw la min bɛ tali kɛ banabagatɔ yɛrɛ ka joli kurulenw na walasa ka tamponade kɛ ni banabagatɔ fariganna siraba kan, joli kurulenw bɛ da tugu ani kɔnɔna joli bɛ kɛ fɛn ye min tɛ se ka bali.

Kɔrɔtɔko latigɛ jiri min bɛ kɛ ka ɲɛsin basibɔn bololanɛgɛ karilenw ma minnu bɛ siga la¶

flowchart TD
    Start["High-Energy Blunt Trauma: Motor Vehicle Crash, Motorcycle Impact,<br/>Pedestrian Struck, Fall > 3 m (10 ft), Horse Trampling, or Crush Injury"]
    CallEMS["Call Emergency Medical Services (ALS Paramedics) Immediately<br/>Keep patient strictly flat (supine); DO NOT log-roll onto side;<br/>DO NOT push or rock the hips ('No Pelvic Springing')"]
    AssessSigns{"Are Pelvic Fracture Criteria or Visual Signs Present?<br/>- Severe hip, groin, lower back, or sacroiliac pain<br/>- Unexplained tachycardia / shock after blunt trauma<br/>- One or both legs flopped outward (external rotation) or one leg shorter<br/>- Bruising over scrotum/labia, perineum, flanks, or blood at urethra"}
    NoPelvic["NO PELVIC FRACTURE SUSPECTED<br/>Continue standard trauma assessment, spinal precautions,<br/>and shock warming until EMS arrival"]
    PrepBinder["PREPARE FOR CIRCUMFERENTIAL PELVIC STABILIZATION<br/>1. Empty trouser pockets (remove keys, wallet, phone, belt)<br/>2. Select Commercial Pelvic Binder (SAM Sling / T-POD)<br/>   OR fold a strong cotton bedsheet smoothly to 15-20 cm (6-8 in) width"]
    SlideSheet["SLIDE BINDER UNDER PATIENT WITHOUT LIFTING OR LOG-ROLLING<br/>1. Pass binder under the natural hollow beneath the KNEES<br/>2. Use a smooth 'seesaw' sawing motion to slide sheet up beneath lower thighs/buttocks<br/>3. Center strictly over the GREATER TROCHANTERS & PUBIC SYMPHYSIS<br/>   (NOT high up over the iliac crests / waist)"]
    TightenLeg["CLOSE THE PELVIC RING & INTERNAL-ROTATE LEGS<br/>1. Have assistant gently bring legs together and rotate feet INWARD ('pigeon-toed')<br/>2. Pull binder straps/sheet ends firmly across front of greater trochanters<br/>3. Lock commercial buckle OR twist/clamp/tie sheet ends securely in front<br/>4. Pad between knees/ankles and tie figure-of-eight strap around ankles & knees"]
    ShockCare["PREVENT LETHAL TRAUMA TRIAD & MONITOR<br/>1. Wrap patient in warm blankets / thermal foil<br/>2. Keep strictly NPO (nothing by mouth)<br/>3. Do NOT remove or loosen pelvic binder until inside Trauma Resuscitation Bay"]

    Start --> CallEMS
    CallEMS --> AssessSigns
    AssessSigns -->|No| NoPelvic
    AssessSigns -->|Yes: Any Criterion Present| PrepBinder
    PrepBinder --> SlideSheet
    SlideSheet --> TightenLeg
    TightenLeg --> ShockCare

Ka Young-Burgess suguya naani suma ɲɔgɔn na, o ye basibɔn bololanɛgɛ karilenw ye¶

Jolilabanaw operelikɛlaw bɛ basibɔn bololanɛgɛ karilenw tila ka kɛɲɛ ni u tigɛcogo fanga ye (Young-Burgess danfara). Kɔnɔbara karicogo faamuyali bɛ a ɲɛfɔ mun na "gafe da wulilen" kari bɛ kɛ sababu ye ka senw wuli ka taa kɛnɛma ani mun na kɔnɔna joli ka jugu kosɛbɛ.

Anatomy and pathophysiology: Why a broken pelvis can bleed out 5 liters of blood internally¶

1. The Geometry of a Sphere: Why opening the pelvis by 5 centimeters creates a giant blood reservoir¶

Inside an intact adult pelvis, the bony ring encloses a compact hemispherical basin of roughly 1.5 liters (3 pints), tightly packed by tough parietal peritoneum and fascia. If a small blood vessel tears inside an intact pelvis, blood quickly fills that small, tight space until the pressure of the trapped blood equals the pressure inside the veins, naturally plugging the leak (self-tamponade).

However, in an open-book (APC) or vertical-shear pelvic fracture, the pubic symphysis rips open in front, the sacroiliac ligaments rip in back, and the tough pelvic floor fascia tears apart: * By the mathematical law of the volume of a sphere (\(V = \frac{4}{3}\pi r^3\)), every small increase in the radius (\(r\)) of the pelvic ring increases its internal volume by the cube of the radius. * If the front of the pelvis opens by just 5 centimeters (2 inches), the internal volume of the pelvic cavity jumps by more than 400 percent. * Even worse, once the fascial floor of the pelvis tears, blood is no longer confined to the pelvis: it tracks freely upward behind the abdominal lining into the vast retroperitoneal space all the way up to the kidneys and diaphragm. The retroperitoneum can hold 4,000 to 5,000 milliliters (8 to 10 pints) of blood before pressure builds high enough to slow down the bleeding, meaning an adult will bleed to death long before self-tamponade ever occurs.

2. The Three Sources of Pelvic Hemorrhage (and why a binder stops two of them)¶

Where does all that blood come from inside a broken pelvis? 1. The Presacral and Prevesical Venous Plexus (80% to 85% of cases): A dense, cobweb-like network of large, thin-walled, valveless veins plastered directly against the front of the sacrum and behind the pubic bone. When the sacrum or pubic bone cracks, hundreds of these veins are shredded simultaneously. 2. Spongy Cancellous Bone Marrow Surfaces: The flat iliac wings and sacrum are filled with vascular red bone marrow; the raw broken bone surfaces ooze briskly like a wet sponge. 3. Internal Iliac Artery Branches (10% to 15% of cases): High-pressure arterial tears (most commonly the superior gluteal artery where it hooks around the greater sciatic notch, or the internal pudendal and obturator arteries). * How a Pelvic Binder works: Wrapping a tight circumferential binder around the greater trochanters mechanically closes the split pelvic ring back to its normal small radius (restoring the retroperitoneal tamponade compartment), presses the raw bleeding bone surfaces directly against each other to stop marrow oozing, and splints the bone fragments so they cannot move and tear the venous clots during ambulance transport.

How to recognize a pelvic fracture without ever rocking the hips¶

Why "Pelvic Springing / Rocking" is strictly forbidden¶

For decades, old first aid textbooks taught rescuers to place their hands on both hip crests and push forcibly downward and outward ("rocking or springing the pelvis") to feel for grating bone (crepitus) or instability. Modern trauma guidelines (ATLS, PHTLS, CoTCCC, NICE, JRCALC) strictly forbid pelvic springing: * Manually pushing an unstable pelvic ring apart has sensitivity below 60 percent, causes excruciating pain, and actively kills patients by popping off the newly formed fibrin blood clots covering the torn sacral venous plexus. * Even in the hospital trauma bay, if a paramedic has already placed a pelvic binder based on the crash mechanism, trauma surgeons leave the binder closed until a CT scan or pelvic X-ray is taken.

Six safe, hands-off clues that point to a pelvic fracture¶

1. High-Energy Mechanism + Unexplained Shock: Any victim of a high-speed car crash, motorcycle crash, pedestrian strike, horse accident, crush injury, or fall from > 3 meters (10 feet) who has a rapid heart rate (tachycardia > 100 bpm), pale clammy skin, or confusion must be assumed to have a pelvic fracture until proven otherwise.
2. Pain Location (in conscious patients): Spontaneous pain in the hips, groin, pubic area, lower back (sacrum), or buttocks, or inability to lift either leg off the ground.
3. External Rotation or Shortening of the Lower Extremities: Look down at the victim's feet while they lie on their back. In an open-book pelvic fracture, one or both legs flop outward so the outer edge of the foot rests against the ground (external rotation). In a vertical shear fracture (or posterior hip dislocation), one leg looks 2 to 5 centimeters (1 to 2 inches) shorter than the other.
4. Urogenital and Perineal Signs (50% of severe pelvic fractures injure the bladder or urethra):
5. A drop of bright red blood at the tip of the penis or urethral opening (blood at the urethral meatus).
6. Dark purple bruising and swelling of the scrotum, labia, or perineum (Destot's sign).
7. Vaginal bleeding or rectal bleeding (which indicates an open pelvic fracture where a sharp pubic bone shard has punctured the vagina or rectum, carrying a catastrophic risk of both exsanguination and polymicrobial pelvic sepsis).
8. Retroperitoneal Flank Bruising: Bluish-purple bruising appearing along the flanks (Grey Turner's sign) or above the inguinal ligament (Fox's sign).
9. Gentle Single-Touch Palpation (Only if conscious and diagnosis is completely uncertain): If a conscious patient has a minor mechanism and you are unsure if the pelvis is injured, you may gently feel the front pubic bone and back of the hips with flat fingers to ask if it is tender, and if you ever perform a single stability check in a clinical setting, you only gently press inward (compressing toward the midline) once at the trochanters, NEVER pushing outward or downward.

Step-by-step technique: Applying a Commercial Pelvic Binder or Improvised Bedsheet Binder¶

Step 1: Prepare the patient and empty all pockets¶

1. Keep the patient lying completely flat on their back (supine).
2. Empty all pockets and remove belts: Before wrapping anything tightly around the hips, use trauma shears to cut away or empty everything inside the front, side, and back trouser pockets (smartphones, keys, thick wallets, coins, belt buckles, or tools). Tightening a pelvic binder over a set of keys or a phone in a pocket will drive the metal object into the skin over the bone, causing a full-thickness necrotic pressure ulcer within 60 minutes.

Step 2: Find the exact anatomical landmark: The Greater Trochanters¶

To find the greater trochanters on any patient: 1. Aw kana **aw yɛrɛ ye cɛsirilan na walima kɔkolo kolo sanfɛla kurulen na (o ye iliac crest ye, min ka bon santimɛtɛrɛ 10 fo 15 / santimɛtɛrɛ 4 fo 6 kojugu). 2. O nɔ na, ​​aw bɛ aw bolow lamaga ni gansan ye ka jigin banabagatɔ sanfɛla cɛmancɛ kɛnɛma fo ka se cɛmancɛ kolo (kɔnɔna) hakɛ ma ɲɛfɛ ani kɔkolo yɔrɔ min ka bon kosɛbɛ kɔfɛ. Aw bɛna kolo gɛlɛn dɔ ye min bɛ kɛ ni kunbere ye senkɔni sanfɛla kelen-kelen bɛɛ kɛnɛma fan fɛ: o ye trochanter belebeleba ye. 3. Aw ka basibɔn sirilan walima aw ka sɛbɛnfura dabɔlen cɛmancɛ sira ka kan ka tɛmɛ ka ɲɛsin sɔgɔsɔgɔninjɛ belebele fila bɛɛ ma ani ka tɛmɛ cɛya simfasi kan.

Taabolo 3A : Aw bɛ jagokɛla ka basibɔn sirilan (SAM Pelvic Sling II, T-POD, walima Prometheus) kɛ .¶

1. Aw bɛ sɔgɔsɔgɔ gɛnɛgɛnɛw jukɔrɔ fɔlɔ (No-Lift Technique): Aw bɛ sirilan da fla la ka a sɔgɔsɔgɔ ka tɛmɛ yɔrɔ la min bɛ banabagatɔ gɛnɛgɛnɛw jukɔrɔ (aw kana basibɔn kɔrɔta walima ka a wuli abada).
2. Seesaw upward into position: Holding one end of the binder on each side of the patient, use a gentle side-to-side sawing motion to slide the binder smoothly up beneath the thighs and lower buttocks until it is centered directly over the greater trochanters.
3. Internally rotate the legs: Have a second rescuer hold the patient's ankles and gently bring the legs together while rotating the feet inward ("pigeon-toed").
4. Pull and lock:
5. For a SAM Pelvic Sling, pull the black strap firmly through the Autostop buckle while pulling the opposite handle in the counter-direction until the buckle clicks and the two steel prongs lock into the perforations (designed to lock automatically at exactly 150 Newtons / 33 pounds of circumferential tension so you cannot over-compress the pelvis), then press the Velcro strap down.
6. For a T-POD, trim the belt leaving a 15-to-20-centimeter (6-to-8-inch) gap over the front of the pelvis, attach the mechanical pulley system across the gap, and pull the drawcord until the gap narrows and the pelvis is snug, then lock the cord.

Step 3B: Applying an Improvised Bedsheet Pelvic Binder (When no commercial device is available)¶

A strong cotton bedsheet, wide drawsheet, or blanket folded smoothly is clinically proven to reduce pelvic volume just as effectively as a commercial binder if applied at the trochanters: 1. Fold the sheet smoothly: Fold a flat bedsheet lengthwise until it forms a smooth, wrinkle-free band roughly 15 to 20 centimeters (6 to 8 inches) wide. 2. Slide under the knees and seesaw up to the Greater Trochanters: Pass the folded sheet beneath the hollow of the knees and slide it carefully up beneath the buttocks until it is centered over the greater trochanters and pubic symphysis. 3. Bring the legs together in internal rotation: Have a helper hold the knees and ankles together with the toes pointed slightly inward. 4. Cross, pull firmly, and secure: * Cross the two long ends of the sheet over the front of the pubic symphysis. * With one rescuer on the left and one on the right, lean back and pull both ends of the sheet smoothly and firmly in opposite directions until the slack is taken up and the sheet snugly hugs the trochanters. * Secure the sheet without losing tension: Either twist the two crossed ends together over the front of the pelvis and clamp them with heavy trauma clamps/hemostats (or twist them around a short stick/baton and tape the stick down, or tie a flat Reef/Square knot over a folded towel pad so the knot does not dig into the belly).

Step 4: Tie the Knees and Ankles in Internal Rotation ("The Figure-of-Eight Leg Tie")¶

Even with a binder around the hips, the heavy weight of two unconscious legs flopping outward acts as a mechanical lever that tries to pry the pubic symphysis back open. 1. Place a folded towel, jacket, or foam pad between the patient's knees and between their ankles to prevent bone-on-bone skin pressure sores. 2. Wrap a triangular cravat bandage, roller bandage, or wide strap around both knees, and wrap a figure-of-eight bandage around both ankles and feet to hold the legs comfortably rotated inward.

Step 5: Safe Lifting, Warming, and Transport Rules¶

1. Never log-roll a pelvic fracture patient: When paramedics arrive to move the patient onto a stretcher, they will use an orthopedic scoop stretcher (which splits in half lengthwise and slides under the left and right sides with minimal movement) or a 4-to-6-person vertical bridge lift.
2. Never remove or loosen a pelvic binder prematurely: Once a pelvic binder is applied, it stays locked in place until the patient is inside a hospital trauma center with blood transfusion running and orthopedic/interventional radiology teams ready. Loosening a pelvic binder in the field to "check the skin" lets the pelvic ring spring back open and triggers immediate re-bleeding.
3. Aggressive warming: Cover the patient completely with warm blankets and an insulating barrier underneath them to prevent the Lethal Trauma Triad (hypothermia, acidosis, and coagulopathy).

Special clinical scenarios in pelvic trauma¶

1. Open Pelvic Fractures and Perineal / Rectal / Vaginal Lacerations¶

Roughly 5 percent of pelvic ring fractures are open pelvic fractures, in which a razor-sharp fragment of the pubic rami or ischium slices through the skin of the groin, perineum, buttocks, vagina, or rectum. Open pelvic fractures carry a mortality rate approaching 40 to 50 percent because external skin tamponade is lost and fecal bacteria contaminate the retroperitoneal hematoma: * Never pull apart the legs or hips to inspect a perineal wound if it means opening the pelvic ring. * Control external groin or perineal bleeding with firm direct pressure and hemostatic gauze wound packing (or a junctional inguinal compression device if available), then apply the circumferential pelvic binder over the greater trochanters right over the packed wound dressing. * Never insert a urinary catheter, rectal thermometer, or vaginal pack in the field if blood is visible at the urethral meatus or perineum, as the urethra or rectum may be partially transected.

2. Pelvic Fractures in Pregnancy and in Children¶

• During Pregnancy: In the second and third trimesters, the gravid uterus rises out of the bony pelvis into the abdomen, and maternal uterine blood flow reaches 600 to 800 milliliters per minute. You can and should still apply a pelvic binder to an unstable pelvic fracture in a pregnant patient because the binder sits low over the greater trochanters and pubic symphysis (below the main fundus of the uterus). After applying the trochanteric binder, manually displace the pregnant uterus 15 to 20 degrees to the LEFT (or tilt the rigid scoop stretcher 15 to 30 degrees to the left) so the heavy uterus does not crush the maternal inferior vena cava (supine hypotensive syndrome).
• Denmisɛnw na: Denmisɛnw ka kɔnɔbara kolo bɛ se ka wuli, wa u bɛ datugu ni kolotugudaw ye, o la, a bɛ girinya fanga juguba de ta (i n’a fɔ bolifɛn bɛ boli a kan) walasa ka den ka basibɔn bololanɛgɛ kari. Aw bɛ sɛbɛnfura fitinin dɔ da walima denmisɛnw ka sirilan dɔ walasa a ka bɛn den ka sɔgɔsɔgɔninjɛ bonya ma ani ka a kɔlɔsi kosɛbɛ ni sugunɛ walima sugunɛ joli bɛ bɔ ɲɔgɔn fɛ.

3. Sani dɔgɔtɔrɔso ka taa dɔgɔtɔrɔso la, EMS ni joginda lakununni sɛgɛsɛgɛli sɛbɛn¶

• [ ].
• [ ].
• Sen fila bɛɛ la, farikolojidɛsɛ yɔrɔjan (PMS) cogoya: Kɔnɔbara basigilen ni kɔfɛla sɔgɔsɔgɔninjɛ, fari sumaya, ani senw lamaga ka kɔn a siri ɲɛ ani a sirilen kɔfɛ.
• [ ].

Ni aw b’a dɔn cogo min na aw bɛ se ka basibɔn karilen dogolen dɔn ani ka trochanteric binder kɛ a la, o bɛ kɔnɔna joli min bɛ se ka mɔgɔ faga, o tigɛli ka kɛ joginda ye min bɛ se ka kisi. Aw bɛ a lajɛ ka dɛmɛ fɔlɔ sɛbɛn, Joli jɔli, walima joginda minnu bɛ kɛ sani dɔgɔtɔrɔso ka taa, aw ka jamana ka Croix Rouge walima Croix Rouge sosiyete fɛ, St John Ambulance fɛ, walima jamana ka dɔgɔtɔrɔso kɔrɔtɔlenw ka tɔnba fɛ (NAEMT).

Ɲininkali minnu bɛ kɛ tuma caman na¶

Sosow sɛgɛsɛgɛra¶

• Amerika ka operelikɛlaw ka kalanso (ACS, Ameriki): Advanced Trauma Life Support (ATLS) Kalandenw ka kalan gafe: Kɔnɔbara ni kɔnɔbara joginni, kɔkolo lamini degun, ani joli bɔli.
• Komite min ɲɛsinnen bɛ kɛlɛcɛw ladonni ma (CoTCCC / Joint Trauma System, Etazuni): TCCC ka laadilikanw furakɛli baarakɛlaw ye: Pelvic Binder Indications and Trochanteric Placement.
• Jamana ka kɛnɛyako ni ladonniko ɲɛtaa baarada (NICE, Angletɛri): Ladilikan NG37: Joginba ni kari gɛlɛnw, basibɔn sirilanw tali sani dɔgɔtɔrɔso ka se, ani Non-Log-Roll Handling.
• Masakɛ ka kolɛjiw ka anpuluw ni ɲɔgɔn cɛ jɛɲɔgɔnya jɛkulu (JRCALC, Angletɛri): Dɔgɔtɔrɔso baarakɛcogo laadilikanw: Kɔnɔbara basigilenw jateminɛni ("No Springing" sariya) ani basibɔn sɔgɔli.
• Diɲɛ opereli kɔrɔtɔlenw ka tɔnba (WSES, International): Pelvic Trauma Classification and Management Guidelines.

Gafe minnu bɛ tali kɛ o ko la¶

• Shock recognition ani kɔrɔtɔko ladonni
• Kɔkolo joginw ni a lamagacogo
• Da wulilen (composé) karilenw ni sɔgɔsɔgɔninjɛ
• Kɔnɔbara bɔli ani kɔnɔbara joginda da wulilen ladonni
• Crush joginni ni compartiment syndrome dɔnni
• Kɔrɔtɔko nimɔrɔw ani jamana wɛrɛw ka cikanw