Ferno 125 User manual

Model 125
KED
April 2001
Users’Manual
Pub. No. 234-1754-02

16 © Ferno-Washington, Inc. 234-1754-02 April 2001
Using the KED Model 125 KED
5.3 Applying the Cervical Collar
Apply the cervical collar according to local protocols
and the manufacturer’s instructions.
Maintain manual stabilization of the patient’s head and
neck until the patient is properly secured on a long spine
board.
In Figure 17, one operator holds the patient’s head and
neck in neutral alignment while the other operator
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 place while you pull the KED out of
the case (Figure 18)
3. Unroll the KED and lay theAdjusta-Pad and head
straps aside.
Figure 18 - Removing the KED From Its
Carrying Case
Figure 17 - Applying the WizLoc®
Cervical Collar
“Dog Ear”

© Ferno-Washington, Inc. 234-1754-02 April 2001 17
5.5 Placing the KED Behind
the Patient
The instructions below allow operators to use the KED
design features to their best advantage.
1. Check behind the patient for articles (wallet, belt,
etc.) that could interfere with sliding the KED
between the patient and the vehicle seat.
2. With the buckles toward the seat, grasp the KED
at the top of the head flap and the top corner of
the torso flap closest to the patient.
3. Tilt the KED at about a 45-degree angle and slide
it behind the patient (Figure 19).
Note: Use the KED’s vertical rigidity as an aid
when sliding the KED behind the patient. Tilting
the KED at a 45-degree angle provides a rigid
leading edge to slip between the patient and seat,
prevents the KED from rolling up, and allows the
KED to clear the vehicle roofline.
4. The operator and assisting operator(s) work the
KED down 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 avoid jostling
the patient’s head, coordinate this effort with the
operator stabilizing the head.
Figure 20 - Centering the KED
Figure 21-A Figure 21-B
Releasing a Leg Strap
Using the KED
Model 125 KED
Figure 19 - Sliding the KED at an Angle
While the KED is moved to the vertical the
operator holding the patient’s head in alignment
lifts his/her elbow slightly, providing clearance
for the KED and taking care not to move the
patient’s head.
5. Use the lift handles to center the KED behind the
patient.
6. If you are going to use the leg straps, remove them
from the fastening strips at the top of the KED
(Figure 21-A). Slide them clear of the KED and
lay them within reach (Figure 21-B).

18 © Ferno-Washington, Inc. 234-1754-02 April 2001
Using the KED Model 125 KED
Figure 23 - Moving the Patient Back
Into the KED
5.6 Wrapping and Positioning the
KED
1. Wrap both torso flaps around the patient’s torso,
lifting the patient’s arms only as much as needed
to slide the flaps beneath them. The top of the
flaps should be just below the patient’s armpits
(Figure 22).
2. Use the lift handles to raise and adjust the KED
until the top edges of the torso flaps press firmly
into the armpit area. You can also use the lift
handles to keep the KED in place until the straps
can be buckled.
If using three operators, the two side operators
lift the KED with the side 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 structure and condition allow.
To check and adjust the patient’s position, the
operator behind the patient holds the patient’s
head in alignment while a side operator gently
presses on the patient’s chest area just below the
cervical collar (Figure 23).
Important
It is important to pull the KED up snugly under
the armpits to make sure the patient’s weight
is suspended. This will reduce the possibility
ofthepatientslippingdownward later whenhe/
she is lifted.

© Ferno-Washington, Inc. 234-1754-02 April 2001 19
After the KED is wrapped and properly positioned
under the armpits, fasten the middle strap and then the
bottom strap. Do not fasten the top (green) strap at this
time.
To fasten the torso straps:
1. Remove the middle (yellow) strap from its holder
by grasping the sides of the buckle and pulling
the strap out of the holder (Figure 24).
2. Fasten the middle strap buckle (Figure 25).
3. Remove the bottom (red) strap from its holder
and fasten the buckle (Figure 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 theTorso Straps
Figure 26 - Middle and Bottom Straps
Fastened
Figure 25 - Middle Strap Fastened
Figure 24 - Releasing a Torso Strap
Model 125 KED Using the KED
Many EMTs remember the order for
fastening straps by repeating this phrase:
“Money Buys Lots of Hot Toys.”
Money= Middle Strap
Buys = Bottom Strap
Lots of = Leg Straps
Hot = Head Straps
Toys = Top Strap
A MEMORY AID
Hook-and-
Loop
Fastener

20 © Ferno-Washington, Inc. 234-1754-02 April 2001
Model 125 KEDUsing the KED
5.8 Applying the Leg Straps
To apply the leg straps:
1. Pass the leg straps between the leg and car seat
(make use of a gap if there is one).
2. Using both hands, “see-saw” one strap into
position under the patient’s leg and buttock
(Figure 27).
Reach behind the patient and make sure the strap
lays straight downward from its anchor point on
the KED, as close as possible to the body midline
(Figure 28).
3. Repeat steps 1 and 2 with the other leg strap.
4. If you are using the “criss-cross” configuration,
cross the straps at the groin and buckle the straps
opposite their 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 patient to the long spine board.
Figure 28 - Back View of Leg Straps
When Properly Positioned
Figure 27 - Placing a Leg Strap Beneath
the Patient’s Leg
Figure 29 - Leg Straps in the “Criss-Cross”
Configuration
For suspected groin injury, the leg straps can be
used in the “same-side” configuration or not used
at all. Always follow your medical advisor’s
recommendations for the use of leg straps.
Be Aware
Leg Strap
Anchoring Points
Midline

© Ferno-Washington, Inc. 234-1754-02 April 2001 21
5.9 Securing the Patient’s Head
APPLYING PADDING
Figure 32 - Head Straps Applied
Figure 31 - Wrapping the Head Flaps with
Padding in Place
APPLYINGTHE HEAD FLAPS
One operator will hold the head and head flaps in place
while another operator applies the head straps to secure
and hold the patient’s head against the KED and/or
padding.
1. Wrap the head flaps around the patient’s head
(Figure 31).
2. Grasp a head strap with both hands and turn the
center pad fully inside-out so the rubber will be
against the patient’s forehead (see Head Straps,
page 14).
3. Position the strap at the patient’s eyebrows and
secure the strap to the head flap fastening strips
at a downward angle (Figure 32). The angled
placement minimizes the chance that the strap 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 Padding
The patient’s medical condition, body structure,
and head shape determine the need for padding.
Follow your medical advisor’s guidelines for the
use of padding.
Be Aware
Using the KEDModel 125 KED
1. Make sure the patient is still properly positioned
against the KED. Adjust if necessary.
2. If there is agap between theKEDandthepatient’s
head, the cervicalcollar, or thepatient’s shoulders,
fill the gap with theAdjusta-Pad or rolled towels
(Figure 30) taking care not to hyperextend or flex
the patient’s neck. (TheAdjusta-Pad can be folded
if additional thickness is needed.)

22 © Ferno-Washington, Inc. 234-1754-02 April 2001
Using the KED Model 125 KED
5.10 Buckling theTop Strap and
Making Final Strap
Adjustments
When the long spine board and ambulance cot are
prepared and waiting, it is time to buckle the top strap
and make final adjustments to the other straps.
The purpose of the adjustments is to make sure the KED
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 tighten the bottom (red) strap.
4. Check and tighten the leg straps.
The properly applied KED will look as illustrated in
Figure 33.
Figure 33 - The KED, Applied

© 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
TRANSFERRINGTHE PATIENT
TOTHE 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

24 © Ferno-Washington, Inc. 234-1754-02 April 2001
3. Lift the spine board and patient out of the vehicle
and place them on the ambulance cot (Figure 36).
4. Immediately loosen the top (green) torso strap
(Figure 37) 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 ambulance ride to the
hospital.
5. Tighten 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
Long Spine Board on Ambulance Cot
Model 125 KED Using the KED
An unrestrained patient can fall off the spine
board or cot and be injured. Use restraints
to secure the patient on the spine board and
the cot.
WARNING
!