Ferno Pedi-Pac 78 User manual

Model 78
Pedi-Pac™
Pediatric Immobilizer
Users'
Manual
Pub. No. 234-1684-01

Model 78 Pedi-Pac Pediatric Immobilizer Users' Manual
2© Ferno-Washington, Inc. 234-1684-01 November 1997
Disclaimer
This manual contains general instructions for the use,
operation and care of this product. The instructions are not
all-inclusive. Safe and proper use of this product is solely at
the discretion of the user. Safety information is included as
a service to the user. All other safety measures taken by the
user should be within and under consideration of applicable
regulations. It is recommended that training on the proper
use of this product be provided before using this product in
an actual situation.
Retain this manual for future reference. Include it with the
product in the event of transfer to new users. Additional free
copies are available upon request from Customer Service.
Proprietary Notice
The information disclosed in this manual is the property of
Ferno-Washington, Inc., Wilmington, Ohio, USA. Ferno-
Washington, Inc., reserves all patent rights, proprietary
design rights, manufacturing rights, reproduction use rights,
and sales use rights thereto, and to any article disclosed
therein except to the extent those rights are expressly
granted to others or where not applicable to vendor
proprietary parts.

Users' Manual Model 78 Pedi-Pac Pediatric Immobilizer
© Ferno-Washington, Inc. 234-1684-01 November 1997 3
Page
TABLE OF CONTENTS
Section 1 - Safety Information ......................................................... 4
Section 2 - Learning about the Product........................................... 4
Section 3 - Operator Skills and Training ......................................... 7
Section 4 - Using the Product.......................................................... 8
Section 5 - Repair Parts and Service ............................................ 13
Section 6 - Limited Warranty ......................................................... 14
Section 7 - Customer Service ........................................................ 14
Training Record ............................................................................ 15
Maintenance Record..................................................................... 15

Model 78 Pedi-Pac Pediatric Immobilizer Users' Manual
4© Ferno-Washington, Inc. 234-1684-01 November 1997
SECTION 2 - LEARNING ABOUT THE PEDI-PAC
2.1 Pedi-Pac Description
The Model 78 Pedi-Pac Pediatric Immobilizer
(Pedi-Pac) is a device designed to aid in
stablizing and immobilizing a pediatric trauma
patient.
The Pedi-Pac is for professional use by a
minimum of two trained operators.
The Pedi-Pac features include a plywood
backboard with a removable nylon cover, an
adjustable, color-coded restraint system, a head
support, lifting handle, and cot attachment loops.
SECTION 1 - SAFETY INFORMATION
1.1 Safety Alerts
Safety alerts identify hazards to avoid. The
following safety alerts appear in this manual.
1.2 Important Boxes
Important boxes are used in this manual to
highlight and emphasize information relating to
the text immediately preceding the box.
1.3 Labels
Labels place important information from the users'
manual on the Pedi-Pac where it is readily
available to person(s) who may not have seen
the manual.
Read and follow label instructions. Replace worn
or damaged labels immediately. New labels are
available from EMSAR®(page 13).
1.4 Before You Begin
Your service technician and bio-med technician
should read and follow the instructions in
Inspecting the Pedi-Pac before placing the
Pedi-Pac in service (page 12).
Important
Improper use can cause injury. Use the
Pedi-Pac only as described in this manual.
Improper operation can cause injury.
Use the Pedi-Pac only as described in this
manual.
Improper maintenance can cause injury.
Maintain the Pedi-Pac only as described in
this manual.
Improper parts and service can cause
injury. Use only Ferno parts and Fern-
approved service on the Pedi-Pac.
Included with the Pedi-Pac is a carrying case, a
Pedi-Pad™, and two head/chin restraints.
Improper use can cause injury. Use the
Pedi-Pac only as described in this manual.

Users' Manual Model 78 Pedi-Pac Pediatric Immobilizer
© Ferno-Washington, Inc. 234-1684-01 November 1997 5
2.2 General Specifications
Specifications are rounded to whole numbers.
For detailed specifications, contact Ferno
Customer Service (page 14). Ferno reserves the
right to change specifications without notice.
Length................................ 48 in .... 122 cm
Height ................................ 75 in .... 191 cm
Width.................................... 9 in ...... 23 cm
Weight .................................. 7 lb ......... 3 kg
Load Limit .......................... 90 lb ....... 41 kg
Size Limit ............................ 54 in .... 137 cm
Note: The color names shown on the restraints are not actually on the product.
2.3 Components
Cover Flap
Lower-hip
Restraint
Thigh
Restraint
Chest
Restraint
Shoulder Restraint (2)
Wrist Restraint (2)
Head Support
Upper-hip
Restraint
Head-support
Flap (2)
Ankle Restraint (2)
Pedi-Pad
Cot-attachment
Loop (2)
D-ring (6)
Head End
Foot End
Leg
Restraint
Carrying Case
Lifting
Handle (4)
Forehead/Chin Restraints

Model 78 Pedi-Pac Pediatric Immobilizer Users' Manual
6© Ferno-Washington, Inc. 234-1684-01 November 1997
2.4 Adjustable Color-coded Restraints
The color-coded restraints adjust for proper
alignment with each patient.
The color-coded restraints slide along a strap on
the back of the Pedi-Pac (Figure 1). To adjust a
color-coded restraint, slide the restraint up or
down the slide strap.
Figure 1
2.5 Adjustable Head Support
The head support adjusts to align with the patient's
ears (Figure 2).
Back View
Figure 3
Figure 2
Slide Strap
Head-support Flap
Slots in the head support allow EMTs to talk with
the patient and to check the patient's ears for
bleeding.
To adjust the head support, open the head-support
flaps (Figure 3).
Move the head support up or down, then close the
flaps.
Tighten the head-support strap, if needed.
2.6 Pedi-Pad
The Pedi-Pad can help maintain the cervical spine
in a neutral position. (Figure 4).
Figure 4

Users' Manual Model 78 Pedi-Pac Pediatric Immobilizer
© Ferno-Washington, Inc. 234-1684-01 November 1997 7
The Pedi-Pad attaches to the Pedi-Pac with hook
and loop fasteners (Figure 5).
Figure 5
Consult your EMS medical advisor about the use
of padding with a pediatric patient whom you
suspect has a cervical-spine injury.
3.1 Skills
Operators should have a working knowledge
of emergency patient-handling procedures.
Operators should have the ability to assist
the patient.
Operators should have a complete
understanding of the procedures described
in this manual.
SECTION 3 - OPERATOR SKILLS AND TRAINING
3.2 Training
Trainees should follow a training program
designed by your training officer.
Trainees should read this manual and view
the video tape.
Practice with the Pedi-Pac before using it in
regular service.
Test each trainee's understanding of the Pedi-Pac.
Keep training records. A convenient form is provided on page 15.

Model 78 Pedi-Pac Pediatric Immobilizer Users' Manual
8© Ferno-Washington, Inc. 234-1684-01 November 1997
4.1 General Information
Pedi-Pac operation requires a minimum of two
trained operators.
Read Learning About the Pedi-Pac (page 4)
before using the Pedi-Pac.
Follow standard emergency pediatric
patient-handling procedures when operating
the Pedi-Pac.
Stay with the patient at all times and always use
patient restraints.
Use good lifting techniques when operating the
Pedi-Pac. See Operator Skills and Training
(page 7).
SECTION 4 - USING THE PEDI-PAC
Improper operation can cause injury. Use
the Pedi-Pac only as described in this
manual.
4.2 Prepare the Patient
Use the Pedi-Pac with a patient who is between
28 - 54 inches in height and weighs between
20 - 90 pounds. (A child approximately 2- to 10-
years of age.)
4.3 Set Up the Pedi-Pac
Remove the Pedi-Pac from its carrying case
(Figure 6).
Lay the Pedi-Pac beside the patient.
Position the top of the shoulder restraints in line
with the top of the patient's shoulders (Figure 7).
Unfasten and lay the restraints aside.
Align the slots in the head support with the
patient's ears.
Figure 7
Figure 6
Keep the load limit of the
Pedi-Pac in mind when working
with a heavy patient.
If you suspect the load limit has
been exceeded, inspect the
Pedi-Pac.
Immobilize the patient's head and neck (cervical
spine) with a cervical collar or similar device.
90
41

Users' Manual Model 78 Pedi-Pac Pediatric Immobilizer
© Ferno-Washington, Inc. 234-1684-01 November 1997 9
Open the head support.
Align the color-coded restraints with the patient as
follows:
Chest restraint (red) - even with patient's
armpits.
Upper-hip restraint (yellow) - just above the
patient's hips (on the iliac crest).
Lower-hip restraint (yellow) - just below the
patient's hips.
Thigh restraint (green) - just above patient's
knees.
Leg restraint (blue) - even with patient's ankles.
When padding is needed, place the Pedi-Pad on
the Pedi-Pac.
When individual leg immobilization is needed,
fasten the leg restraint.
4.4 Apply the Pedi-Pac
Transfer the patient onto the Pedi-Pac using a
method approved by your EMS medical advisor.
Maintain stabilization of the patient's head and neck
during the transfer and while applying the Pedi-
Pac.
Fasten the color-coded restraints over the patient
in a progressive sequence (Example: red-yellow-
yellow-green-blue, Figure 8).
Fasten the wrist restraints (Figure 9).
Tighten the restraints to limit movement but not to
impair circulation.
Bring the shoulder restraints over the patient's
shoulders, and fasten the shoulder restraints to the
chest restraint (Figure 10).
Figure 10
Figure 8
Figure 9

Model 78 Pedi-Pac Pediatric Immobilizer Users' Manual
10 © Ferno-Washington, Inc. 234-1684-01 November 1997
Fasten the ankle restraints for individual leg
immobilization, if needed (Figure 11).
Place a forehead/chin restraint on the patient's
forehead (Figure 12).
Press the forehead/chin restraint against the
fastening strips on the sides of the head-support
flaps.
Thread each end of the forehead/chin restraint
through a D-ring (Figure 13).
Fasten the end of the forehead/chin restraint to the
fastening strip on the top of the forehead/chin
restraint. Tighten the forehead/chin restraint
snugly.
Use the second forehead/chin strap is to secure
the patient's chin, if needed.
Wrap the head-support around the patient's head.
The slots in the head support should be in line with
the patient's ears.
4.5 Transport the Patient
USING AN AMBULANCE COT
Use an ambulance cot (cot) equipped with three
restraints.
Unfasten the restraints on the cot.
Use the lifting handles to lift the patient immobilized
in a Pedi-Pac onto the cot.
Figure 11
Figure 12
Figure 13