The goal of this study was to compare application of the Kendrick Extrication Device (KED) versus rapid extrication (RE) by emergency medical. KED PRO Extrication Device. The industry recognised Kendrick Extrication Device, originally developed in the late s has been further improved in the form. Ferno K.E.D.® – Kendrick Extrication Device. Add to quote. Add to Compare Add to Wishlist. _KED_Straps. K.E.D.® – Replacement Head and Chin.
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Retrieved from ” https: The other study participant was a volunteer EMT from a local volunteer first aid squad kndrick also had over 10 years of experience. Ambulance station Rescue squad Search and rescue. D User’s Manual,p.
Kendrick Extrication Device
Occupational fatalities in emergency medical services: Paramedic use of a spinal injury clearance algorithm reduces spinal immobilization in the out-of-hospital setting. These were asked at different stages: Angle to left after patient moved to backboard. Emerg Med Clin North Am. Urol Clin North Am. Commonly carried on ambulancesthe K. Finally, just prior to moving the patient to a long spine board the top strap is secured. There have been very few studies done on the KED. In an era of increasing use of evidence-based care, all interventions that we commonly do based on anecdote need to be called into question.
If these symptoms are present, the head is immobilized in the position found. X-rays or advanced life support procedures can be performed with the K.
While this study provides limited data that the KED decreases ability of the patient to move their neck after application of the device, further studies are needed to determine if the device actually changes patient outcomes.
The KED is supposed to be used on patients with neck and back pain after trauma.
K.E.D., Kendrick Extrication Device, KED
By the West JEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. Care must be taken to secure the head extrucation to maintain neutral immobilization. The participant surveys measured level of pain, level of discomfort, perceived amount of movement, and perception of amount of time taken to remove from car. This is not unexpected, as the KED does immobilize the head as securely as possible to the stretcher and backboard.
Of the two person crew used in this study, one was an EMT instructor with 20 years of experience working approximately 40—50 hours per week kenrrick also worked for Robert Wood Johnson EMS as a paramedic Figure 2. Table 2 P-values of regression analysis testing significant effects of age, weight, sex, and height as modifiers of the effect of using KED versus RE.
Each rescue trial consisted of the participant and two EMS personnel.
It includes upgraded head and neck pads and carry handles, together with a variety of new features extricwtion to provide even more secure immobilisation.
Technical Rescue Load Limit. All subjects underwent both scenarios. Adapts to a hip and pelvic splint by simple inversion Adjustable, fold-back sides permit easy access to patient’s chest. A radiographic comparison of prehospital cervical immobilization methods.
Stabilization of spinal injury for early transfer. Improved immobilisation — wider rigid spinal panel to reduce rotation and flexion, durable leg and chest strap buckles for more secure immobilisation in confined space rescues. Unexpectedly, a positive association with increasing weight and greater movement of the head to the left on RE versus KED was found in our study.
Methods We used 23 subjects in two scenarios for this study. D, Newark, NJ Also, an expanded number of participants would enable more data to be collected and more significant analyses of the variables in the study. There was a slight trend for patients in the heaviest weight category to experience either almost as much movement or estrication movement using KED than RE.
Trial A involved a c-collar being applied, followed by the application of the KED, and extrication onto a longboard and ambulance stretcher. Rapid extrication is indicated when the scene is unsafe, a patient is unstable, or a critical patient is blocked by another less critical patient. Table 1 provides summary statistics of the outcome variables, as well as p-values for detecting differences between outcomes under the two techniques.
Legal aspects of emergency treatment of the neurologically injured patient. It provokes concern with regard to using the device when prolonged scene time is a concern for provider or patient safety.
Finally, there are additional concerns regarding the possible increased risk of movement of kendrck spine in obese patients. Sometimes, hospitals will cut the straps off instead of disconnecting the device properly.
Measuring movement of the thorax would have been difficult to do using our study method. KED Pro offers an even greater degree of protection for rescue casualties, combined with improved ease of use for the rescuer.
Subjects were included if they were over 21 and were able to dxtrication verbal consent to participate. Canadian Medical Association Journal. This was a controlled setting inside a garage with no risk for adverse weather or for suffering personal injury from vehicles on the road, which are frequently encountered when rendering pre-hospital care.
Subjects were asked to turn their head to the right and the left as far as tolerable. Support Center Support Center. Occupational injuries among emergency medical services personnel.