Types:
Open-Book: Exactly how it sounds. Pelvis split down the middle at the pubic symphysis. You may see this in a head on collision, for example.
Vertical Shear: One half of pelvis sheared upwards
Lateral Compression: Half the pelvis crushed inward or outward. You may see this in a T-bone accident, for example.
Indications:
Unstable pelvis, hypotensive patients. You will likely place this before you get imaging as it is done during the secondary survey.
Management:
T-Pod! In almost all cases of pelvic trauma, you’re going to place the T-pod. It’s placed like a mini-skirt, with the binder around the greater trochanters. Here’s a great blog for further reading and videos on how to place them: http://www.tamingthesru.com/blog/acmc/application-of-pelvic-binders
Other Considerations:
When you’re done worrying about the bleeding, think of other possibilities such as ureteral/gonadal injuries, hip fractures, retroperitoneal hemorrhage.
References:
https://www.ncbi.nlm.nih.gov/pubmed/25208283
http://www.aast.org/pelvis-injuries
http://www.tamingthesru.com/blog/acmc/application-of-pelvic-binders
https://radiopaedia.org/articles/pelvic-fractures