Kendrick Extrication Device (KED) Patrollers may be asked to assist more advanced medical responders to immobilize a patient with an upper body motion restriction device. The Kendrick Extrication Device, or KED, is one example. The strapping system on an upper body motion restraining device mirrors a typical backboard and is very familiar to patrollers and simple to learn. The device however, is not part of the standard equipment found at all CSP areas, due to its cost. Devices such as a KED may be used by our members provided the manufacturer’s instructions for use are followed.

The load limit is 500 lbs or 227 kgs The Model 125 KED (Kendrick Extrication Device, referred to as the KED in this PowerPoint) is an emergency patient-handling device designed to aid in the immobilization and short transfer movement of patients with suspected spinal/cervical injuries or fracture. The KED is designed for use by a minimum of two trained personnel. Additional help may be preferred or needed. The load limit is 500 lbs or 227 kgs The KED is ALWAYS to be used with a cervical collar for C-Spine control and ALWAYS use a backboard and straps The C-collar is recommended to be used with all C-spine injuries. The KED’s head flaps will help stabilize the head in the event that a collar cannot be safely applied to a patient.

When and Where when a backboard CAN NOT be directly applied AND/OR you have to move or carry a patient a distance to a backboard if a pelvic or hip injury is suspected (backboard is still used!) if a femoral fracture is suspected (backboard is still used!) can be used on anyone, any size area protocols will determine how the KED is brought to the scene The KED can be used in place of the Pelvic Girdle. Most if not all EMS services and Emergency rooms are trained to use the KED and are familiar with it’s use. For Pelvic/Femoral injuries, the backboard is used without any further splinting. The straps are to keep the patient safely on the backboard for transport. The KED does not always have to be used, the situation could dictate the best patient treatment.

Components The KED is constructed with three torso straps: top, middle and lower. The straps are colour coded for easy matching of left and right pieces. A- Head Straps B- Lifting Handles C- Leg Straps D- Head Flap E- Torso Buckles F- Torso Straps G- Leg Buckles H- Torso Flap I- Adjusta-Pad B C A E B G D F H I

Shortening and Securing the Straps Feed and pull to Tighten Release strap Connect buckles

Strap application order The order for fastening straps by repeating this phrase “My Baby Looks Hot Tonight.” My= Middle Strap Baby = Bottom Strap Looks = Leg Straps Hot = Head Straps Tonight = Top Strap

Torso Strap Fastening 1. Middle (Yellow)-KED is tight to underarms. 2. Bottom (Red) 3. Legs (Black) “Criss-Cross” or “Same Side”

Securing the Head 4. The head secured 1. Padding the void 2. Wrapping the head flaps 5. Secure top strap (Green) 3. Opening the Head Straps

Moving Patient to a Backboard Loosening top (Green) Torso Strap for patient comfort K.E.D. applied Tighten or loosen leg straps as needed

Tighten leg straps if necessary. Immediately loosen the top (green) torso strap to allow the patient more chest expansion Note: Keeping the remaining straps tightened provides stability for the patient during the starts, stops, and corners of the toboggan ride. Tighten leg straps if necessary. Properly applied leg straps will loosen when the patient is placed supine on the spine board. Apply a head immobilizer. Secure the patient on the spine board with the spine board restraints.

Putting It All Together KED is tight to the armpits! Apply the Cervical Collar Wrapping the Torso Flaps Around the Patient Moving the Patient back into the KED

Fasten Middle strap Fasten Leg Straps “Criss-Cross or “Same Side” -pad legs if required Fasten Bottom Strap

Positioning the Adjusa-pad The Adjusta-Pad can be folded as much or as little as required. It may not be required at all. Back view of Leg Straps when correctly positioned close to the body midline Positioning the Adjusa-pad

Wrapping the Head Flaps with the padding in place Head Straps Applied The KED applied

Adapting the KED for a Pregnant Patient When applying the KED to a pregnant patient, fold two slats inward on each torso flap to leave the abdomen exposed. Positioning Torso Straps beneath breasts/above abdomen Two-Strap configuration Three-Strap configuration

Adapting the KED for a Pediatric Patient The patient’s size and condition determine how the KED can be adapted for a child. In this example of one possible method, the child’s legs are longer than the KED so the KED and child are placed on a long spine board. A folded blanket is placed on the child so the torso flaps can be wrapped and fastened normally (next slide).

Applying the KED to a child – note the position of the head flaps

Hip And/or Femur Stabilization The KED and patient are placed on a long spine board with the head portion of the KED toward the foot end of the board. The torso portion of the KED is positioned a little above the waist and centered (next slide). The torso flaps are secured around the patient and the head flaps are wrapped around the patient’s injured leg and secured with the KED head straps .

Stabilizing the Hip and/or Femur – note the position of the Head Flaps

Pelvic Stabilization The KED and patient are placed on a long spine board with the head portion of the KED toward the foot end of the board. The torso portion of the is KED positioned a little above the waist and centered. The torso flaps are secured around the patient’s pelvic area and the head flaps are wrapped around both the patient’s legs and secured with the KED head straps (next slide).

Stabilizing the Hip and/or Femur – note the position of the Head Flaps

Storing the KED 3. Making the first fold 1. Turning the Buckle under 4. Securing the Straps 2. Folding Accordion style

5. Wrapping the Leg Straps 6. Securing the Folded Strap in the Fastener 7. Positioning the Adjusta-Pad and Head Straps

8. Folding the Torso Flap 9. Rolling the KED 10. Ready for the case/bag

Always use a cervical collar if spinal injury is suspected Remember Always use a cervical collar if spinal injury is suspected Always use a backboard and straps to transport Now practice!!

One Patrol’s Kit

What's In The Bag??

The 3 Handles

Ice pick Rope Carabineer The ice screw can aid in providing an anchor point, better would be a tree, rock even a snow machine. Watch for movement of the anchor and HAVE ENOUGH PERSONNEL!! The carabineer can be used to attach the rope to the KED handle, to an opening in a backboard or to join the two pre-tied ropes together. There are two 10 meter ropes in each bag. They have a pre-tied figure “8” on both ends with self locking carabineers for faster securing to a backboard, KED, anchor or situational requirements. Ice pick Rope Carabineer

Climbing Webbing Folding Saw There is a 3m length of 25mm webbing with loops at each end. This could be used for wrapping around someone to help hold them in place. There is a folding pruning saw in the same pouch as the ice screw. For on-site small branch removal. Climbing Webbing Folding Saw