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© Ferno-Washington, Inc.   234-1754-02   April 2001

23

5.11  Transferring the Patient to the

  Long Spine Board

The technique described below for transferring the
patient to the long spine board involves pivoting the
patient with his/her back toward the midline of the
vehicle. In many situations, this may be the most
effective technique for preventing lower spine torque.

Alternative techniques have been developed and are in
use. Follow your medical director’s guidelines when
choosing a technique.

GENERAL GUIDELINES

The two operators pivoting and lifting the patient
work from the same side of the vehicle.

Pivot the patient so his/her back is toward the
midline (inside) of the vehicle.

Figure 34- Patient Pivoted with Back

Toward Inside of Vehicle

Figure 35 - Lifting the Patient

To Position the Long Spine Board

TRANSFERRING THE  PATIENT

TO THE LONG SPINE BOARD

1. Two operators grasp the side lift handles of the

KED and pivot/tilt/lift the patient until his/her
back is toward the inside of the vehicle (Figure
34).

2. Grasping the side handles of the KED and holding

the patient under the knees, lift the knees enough
to allow a third operator to slide the long spine
board between the patient and the seat (Figure
35). Then lower the patient onto the spine board.

Note: Slide the head-end edge of the spine board
as close as possible to the far side of the seat so
the patient will become properly positioned on
the board when you lift the knees.

Continued on Next Page

Make sure to maintain the patient’s body angle
and a straight midline as you pivot the patient to
position his/her back toward the inside of the
vehicle.

Be Aware

Model 125 KED

Using the KED

Содержание 125

Страница 1: ...Model 125 KED April 2001 Users Manual Pub No 234 1754 02 ...

Страница 2: ...rator applies Ferno s WizLoc cervical collar 5 4 Removing the KED from the Carrying Case The KED carrying case is designed for quick removal of the KED as follows 1 Stand the carrying case containing the KED on end with the open end of the case facing upward Where the case meets the ground there will be a left and right dog ear Figure 18 2 Place your foot on one of the dog ears to hold the case in...

Страница 3: ...between the patient and the back of the seat and then into the vertical position Figure 20 Work the KED far enough down to clear the vehicle roofline and be positioned behind the patient s head when the KED is tipped to the vertical Note The third operator may move the patient forward just enough i e a hand s thickness to reduce friction so the KED slides smoothly between the patient and seat To a...

Страница 4: ...straps Figure 22 Wrapping the Torso Flaps Around the Patient Positioning the patient as fully as possible against the KED minimizes the need for padding between the patient s head and the KED But be aware that some patients may not be able to sit fully back into the KED Be Aware 3 Before beginning to fasten the straps make sure the patient is sitting back against the KED as fully as his her body s...

Страница 5: ...26 4 Use the feed and pull tightening technique to snug both straps leaving space for two or three fingers laid flat between the strap and the patient s chest You will fasten the top strap and tighten all other straps just before transferring the patient to a long spine board and the ambulance cot 5 7 Fastening the Torso Straps Figure 26 Middle and Bottom Straps Fastened Figure 25 Middle Strap Fas...

Страница 6: ...ir sides of origin Figure 29 If you are using the same side configuration do not cross the straps at the groin Buckle them on their sides of origin 5 Snug both straps using the feed and pull tightening method see Snugging or Tightening the Strap page 9 Leave space for two or three fingers laid flat between the strap and the patient s leg You will tighten the leg straps just before transferring the...

Страница 7: ...rap can slide upward on the forehead 4 Place the second strap under or on the chin area of the cervical collar and position the strap ends as horizontally as possible Secure the strap ends to the fastening strips on the head flaps Figure 32 Take care not to apply the strap so snugly that the patient cannot open his her mouth For additional information see Head Straps page 14 Figure 30 Placing the ...

Страница 8: ...is firmly in place from the lower spine to the head and is positioned high up under the armpits to prevent movement during extrication Finish applying the KED as follows 1 Remove the top green strap from its holder and buckle it Tighten the strap to the chest using the feed and pull technique see Snugging or Tightening the Strap page 9 2 Check and tighten the middle yellow strap 3 Check and tighte...

Страница 9: ...Inside of Vehicle Figure 35 Lifting the Patient To Position the Long Spine Board TRANSFERRING THE PATIENT TO THE LONG SPINE BOARD 1 Two operators grasp the side lift handles of the KED and pivot tilt lift the patient until his her back is toward the inside of the vehicle Figure 34 2 Grasping the side handles of the KED and holding the patient under the knees lift the knees enough to allow a third ...

Страница 10: ... leg straps if necessary Properly applied leg straps will loosen when the patient is placed supine on the spine board 6 Apply a head immobilizer such as the Ferno Model 445 7 Secure the patient on the spine board with the spine board restraints 8 Secure the spine board on the cot with the cot restraints Figure 37 Loosening Top Green Torso Strap for Patient Comfort Figure 36 Placing Patient and Lon...

Страница 11: ...When necessary the KED can be adapted for use in special situations and circumstances Some possible adaptions are presented in this section Follow your medical director s guidelines for adapting the KED USING ALLTHREE STRAPS Fasten the middle strap in its own buckle Fasten the bottom strap in the top buckle Fasten the top strap in the bottom buckle Figure 40 Figure 40 Three Strap Configuration USI...

Страница 12: ...ld 6 4 Adapting KED for an Angulated Neck When it is not desirable to straighten the patient s neck fold the head flaps inward Position a rolled towel as needed then place a head strap across the patient s forehead and secure the strap to the KED fastening strips Figure 42 Figure 42 Applying the KED to an Angulated Neck 6 5 Adapting the KED for Use With Monitoring Systems Folding two slats of each...

Страница 13: ...he patient s injured leg and secured with the KED head straps Figure 44 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...

Страница 14: ...49 4 When all the webbing is folded secure it in the hook and loop fastener Figure 50 Make sure to position the folded strap so the fastening strips wrap around it at the location of the buckle release tabs This will enable you to pull the strap free without tangles and have the buckle in your hand in a single motion Figure 49 Folding Accordion Style Figure 48 Making the First Fold Figure 50 Secur...

Страница 15: ... the leg strap until about six inches of webbing have not passed backward through the buckle slide 2 Beginning at the point where the strap is attached to the KED fold the strap down around the bottom edge of the KED then up and around the inside of the KED Figure 51 3 Turn the buckle under to rest flush against the webbing and secure the strap in place by pressing its hook and loop fastening stri...

Страница 16: ...s parallel with the Adjusta Pad Figure 54 Folding the Torso Flap Figure 55 Rolling the KED Figure 56 Ready for the Carrying Case Figure 53 Positioning the Adjusta Pad And Head Straps TORSO FLAPS 1 Fold the torso flap over the Adjusta Pad tucking the edge of the flap over the edge of the pad Figure 54 2 Roll the folded portion of the KED over the remaining torso flap Figure 55 until the center port...

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