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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.
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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)