Where should a pelvic compression device (PCD) be positioned on a casualty with a suspected pelvic fracture?

The pelvic compression device (PCD) should be positioned at the level of the greater trochanters because this placement effectively stabilizes the pelvis and helps reduce pelvic volume, which can be beneficial in cases of suspected pelvic fractures. By placing the device at the greater trochanters, it targets the proximal femur and provides optimal compression across the pelvis, minimizing movement and potentially reducing hemorrhage from pelvic injuries.

Positioning it at this anatomical landmark ensures that the device applies even pressure to maintain structural integrity in the region, which is essential in trauma care. This is critical, as uncontrolled bleeding from a pelvic fracture can lead to significant morbidity and mortality. The correct placement is vital to achieving the desired effects of the device while avoiding complications associated with improper positioning.