In trauma, when is a pelvic binder indicated, and where should it be applied?

• A. The level of the greater trochanters.
• B. Midline across the pelvis.
• C. Around the chest.
• D. Over the lumbar spine.

Answer: (A)

In trauma care, a pelvic binder is used to stabilize a suspected pelvic fracture and reduce pelvic volume to help control hemorrhage. It should be applied around the hips at the level of the greater trochanters so the compression targets the pelvic ring itself. Placing the binder midline across the pelvis won’t effectively compress the ring, and wrapping it around the chest or over the lumbar spine misses the pelvis altogether and can cause other problems.