FERNO KENDRICK EXTRICATION DEVICE
KED FERNO KENDRICK EXTRICATION DEVICE The Ferno K.E.D. is a versatile, improved means of immobilizing and extricating patients from auto accidents or confined spaces. The wraparound design provides horizontal flexibility for easy application and vertical rigidity for maximum support of the spine, neck, and head during extrication. Immobilizes torso, head, and neck, enabling prompt extrication while minimizing risks of further injury. X-rays or advanced life support procedures can be performed with the K.E.D. in place. Ferno K.E.D. includes wraparound vest, Adjusta-Pad neck roll, two head straps and carrying case. Heavy-duty, vinyl-coated nylon is durable and easy to clean. Case is enlarged to accommodate extrication collars. Stores rolled up, ready for immediate use. Built-in handles enable rescuers to get a firm grip on the patient and K.E.D. as one unit.
Adapts to a hip and pelvic splint by simple inversion Adjustable, fold-back sides permit easy access to patient's chest. Does not interfere with the application of anti-shock trousers Can be used for multiple patient sizes, including children and pregnant women Color-coded, sewn-in securing straps and snap-lock buckles for quick, easy application Wraparound design provides horizontal flexibility for easy application and vertical rigidity for maximum support of the spine, neck, and head during extrication. Ideal for immobilizing and extricating patients from auto accidents or confined spaces The Kendrick Extrication Device (KED) is a device that is used in vehicle extrication to remove a patient from a motor vehicle. A KED is used in conjunction with a cervical collar to help immobilize a patient's head, neck and spine in the normal anatomical position (neutral position). This position helps prevent additional injuries to these regions during vehicle extrication. CERVICAL COLLAR (C-COLLAR)
The purpose of the cervical collar, also called the C-collar, is to stabilize the head and neck thus preventing further injury to the patient's spine. The collar should be rigid such as the stiff neck collar. This collar has enlarged openings in front to allow for pulse examination, observation of tracheal deviation, and prevention of constriction of the jugular vein. Indications for Cervical Collar Use.
Use a C-collar for a patient who has signs or symptoms of spinal injury. Also, apply a cervical collar on a patient when the mechanism of injury suggests possible spinal injury. The purpose of the collar is not to prevent the head from moving, but rather to prevent the head from moving in relation to the spine and to reduce the compression of the cervical spine during movement and transport of the patient. Never use a soft collar; it permits too much lateral movement, flexion, and extension. Procedure for Applying the Cervical Collar. 1. To size a cervical spine immobilization collar use your fingers to measure the distance from the shoulder to the chin 2. The distance between the sizing post and lower edge of the rigid plastic should match that of stacked fingers previously measured against the patients neck 3. Assemble and preform the collar 4. After selecting the size slide the C-collar up the chest wall 5. Bring the collar around the neck and secure the Velcro 6. If the chin is not covering the fastener of the chin piece, readjust the collar by tightening the Velcro until a proper sizing is obtained Procedure for Applying the Cervical Collar.
(1) Manually stabilize the patient's head and neck by: (a) Holding his head firmly, placing each hand around the base of his skull, supporting the patient's mandible and occipital area. (b) Using gentle traction to lift the patient's head to an "eyes forward" position. (c) Immobilizing the patient's head in the same position in which he was found if the patient resists movement or feels more pain when his head is moved. (2) Be sure the collar is the proper size. If the collar is too small, there will be pressure on the patient's airway, and he will be immobilized ineffectively. If the collar is too large, the patient's neck will be hyper extended excessively. 3) Apply the cervical collar like this: (a) The first rescuer maintains traction and immobilizes the patient's head. (b) At the same time, the second rescuer slides one end of the collar under the small of the patient's neck and connects both ends of the collar together. Most collars have velcro closures. Manually stabilize the patient's head and neck by:
Holding his head firmly, placing each hand around the base of his skull, supporting the patient's mandible and occipital area. (b) Using gentle traction to lift the patient's head to an "eyes forward" position. (c) Immobilizing the patient's head in the same position in which he was found if the patient resists movement or feels more pain when his head is moved. (2) Be sure the collar is the proper size.
If the collar is too small, there will be pressure on the patient's airway, and he will be immobilized ineffectively. If the collar is too large, the patient's neck will be hyper extended excessively. 3) Apply the cervical collar like this:
The first rescuer maintains traction and immobilizes the patient's head. (b) At the same time, the second rescuer slides one end of the collar under the small of the patient's neck and connects both ends of the collar together. Most collars have Velcro closures. COMPLICATIONS OF SPINE INJURY The spinal (vertebral) column Spine injury may produce catastrophic permanent damage
Spine injury may produce catastrophic permanent damage. There are three major complications of the spine injury: 1. Inadequate Breathing Effort - Paralysis of the respiratory muscles 2. Paralysis - Paralysis may occur below the site of spinal cord damage 3. Inadequate Circulation - Blood Pressure and perfusion may be poor in the patient with spine injury Components of the central And peripheral nervous system Injuries to the spine have the potential for severity because within the spinal column is the spinal cord. This structure caries nerve impulses from most of the body to the brain and back to the body. A single spinal cord injury can affect several organs and bodily functions. The spinal column is the principal support system of the body. The cervical vertebrae are the most mobile and delicate. Injury to the cervical spine is the most common cause of spinal cord injury. Steps of using the KED to extract a patient from a vehicle 1. After a cervical spine immobilization collar has been applied, slip the KED behind the patient and centerit 2. Properly align the device and then wrap the vest around the patients torso 3. When the device is tucked well up into the arm pits, secure the chest strap 4. Secure the leg straps 5. Secure the patients head with the Velcro head straps 6. Tie the hands together 7. Pivot patient onto the backboard while maintaining in-line stabilization A KED wraps a person's head, back and torso in a semi-rigid brace, immobilizing the head, neck and spine. Typically there are two head straps, three torso straps, and two legs straps which are used to adequately secure the KED to the patient. Unlike a back board, the KED uses a series of wooden or polymer bars in a nylon jacket, allowing the responders to immobilize the patent's spine and neck, and remove them from the vehicle/confined space. Secure patients neck using a cervical collar.
While manually immobilizing the patients neck, the patient is helped forward, and the KED is slid behind the patient. The straps of the KED are secured in a specific order.
Since this order can be hard to remember the sentence, "My Baby Looks Hot Tonight", is used. The order is: Middle strap, Bottom strap, Leg straps, Head straps, Top strap. The KED straps are color-coded for this order; green for the top strap, yellow for the middle strap, red for the bottom strap, and black for the leg straps. Middle strap Bottom strap Leg straps Head straps Top strap
"My Baby Looks Hot Tonight" Middle strap Bottom strap Leg straps Head straps Top strap The area between the head and the KED is then padded, minimizing any movement.
Patient is then extracted from the vehicle, and secured to a backboard, keeping the KED on the patient. After a cervical spine immobilization collar has beenapplied, slip the KED behind the patient and centerit Properly align the device and then wrap the vest around the patients torso When the device is tucked well up into the arm pits, secure the chest strap 4.Secure the leg straps 5.Secure the patients head with the Velcro head straps 6.Tie the hand together Pivot patient onto the backboard while maintaining in-line stabilization Steps of using the KED ( more photos)