&
&
3
‐
Step
Easy
Application
in
30
seconds:
“S
‐
A
‐
X”
(SETUP
–ADJUST
–
X
‐
STRAPS
APPLICATION)
#1:
SETUP
•
Extend
the
XCollar
to
its
longest
setting.
Unfold
the
Back
Support
and
lock
it
in
place.
#2:
ADJUST
•
Encircle
the
patient
and
capture
the
chin
before
connecting
the
buckle.
Note
that
the
chin
is
the
anchor
point,
so
ensure
that
the
chin
properly
captured
between
the
Chin
Strap
(in
front)
and
the
Foam
Padding
(below).
•
While
holding
the
front
of
the
device
in
place,
use
the
“push
&
pull”
(Opposing
Forces)
method
to
adjust
Side
Straps
evenly
(circumference
adjustment).
•
Extend
Chest
Support
Piece
until
firm
contact
with
the
upper
sternum
is
obtained
(height
adjustment).
#3:
X
‐
STRAPS
APPLICATION
•
Apply
X
‐
Straps,
using
the
“push
&
pull”
(Opposing
Forces)
method,
to
the
corresponding
color
‐
coded
Velcro
anchor
points
while
ensuring
to
maintain
tension
on
the
X
‐
Straps.
This
integrates
anterior
and
posterior
pieces
to
splint
the
patient.
USE
DIRECT
OPPOSING
FORCES
IN
EVERY
STEP
OF
APPLICATION
After
a
completed
proper
application,
the
following
criteria
must
be
met:
•
Proper
capturing
of
the
chin.
•
Firm
Contact
of
Chest
Support
on
Upper
Sternum.
•
Tension
on
X
‐
Straps.
After
XCollar
application,
you
may
proceed
to
secure
the
patient
to
the
spinal
board/vacuum
mattress/rescue
basket
by
applying
the
HEAD
RESTRAINT
SYSTEM
(HRS).
2
‐
STEP
HRS
APPLICATION:
1
–
STACK,
SLIDE
and
STICK
–
Once
patient
is
on
the
spinal
board,
STACK
the
Occipital
Support
pieces
to
desired
height
as
needed
to
maintain
proper
alignment.
SLIDE
the
Occipital
Support
Pad
under
the
head.
Pull
the
clear
film
strip
to
STICK
the
Occipital
Support
Pad
to
the
spinal
board.
2
–
SECURING
STRAPS
APPLICATION
–
Remove
one
X
‐
Strap
while
maintaining
tension,
then
place
the
black
side
of
the
square
end
to
the
XCollar
Velcro
anchor
point.
Reattach
X
‐
Strap.
Wrap
the
securing
strap
to
the
spinal
board
to
take
off
the
slack.
DO
NOT
OVERTIGHTEN.
Repeat
on
opposite
side.
Airway
Management
1.
Loosen
the
Chin
Strap
,
remove
the
X
‐
S
TRAPS
and
loosen
the
Side
Straps
if
necessary.
2.
Obtain
airway.
3.
Re
‐
tighten
X
‐
Straps
to
secure
XC
OLLAR
.
***For
extra
‐
large
patients
it
may
be
necessary
to
temporarily
unclip
the
buckle
to
intubate***
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