A pelvic binder should be avoided in which scenario?

• A. Stable pelvic fracture.
• B. Unstable pelvic fracture.
• C. Pelvic fracture with hypotension.
• D. Pelvic fracture with open wound.

Answer: (A)

Pelvic binders are used to stabilize an unstable pelvic ring and help control bleeding. If the pelvis is stable, there’s no active hemorrhage or pelvic instability to address with compression, so applying a binder isn’t beneficial and can cause harm. The binder can lead to skin and soft tissue injury from prolonged pressure, obscure physical findings, and complicate imaging and reassessment. In a stable pelvic fracture, the focus is on ongoing assessment, treating other injuries, and proceeding with standard diagnostic workup rather than using a binder.