Ferno KED Pro User manual

FERNO
®
When It’s Critical
®
Users’ Manual
KED® Pro
January 2011 GLO
Pub. No. 234-3396-00
Read this Manual
and Retain for
Future Reference

2© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
© Copyright Ferno-Washington, Inc. All Rights Reserved.
USERS’ MANUAL
To request additional free users’ manuals,
contact Ferno Customer Relations, your
Ferno distributor, or visit www.ferno.com.
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 Relations.
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.
Limited Warranty Statement
The products sold by Ferno are covered by a limited warranty,
which is printed on all Ferno invoices. The complete terms and
conditions of the limited warranty, and the limitations of liability
and disclaimers, are also available upon request by calling Ferno at
1.800.733.3766 or 1.937.382.1451.
Ferno Technical Support
Customer service and product support are important aspects of each
Ferno product. Please have the product serial number available
when calling, and include it in all written communications. For
technical support questions:
Telephone (Toll-free) 1.800.733.3766 ext. 1010
Telephone [phone] ext. 1010
Email quality[email protected]
Ferno Customer Relations
For ordering assistance or general information:
CANADA AND THE U.S.A.
Telephone (Toll-free) 1.877.733.0911
Telephone [phone]
Fax (Toll-free) 1.888.388.1349
Fax [phone]
Internet www.ferno.com
FERNO AUSTRALIA
11 Johnstone Road
Brendale, Queensland 4500
Internet www.ferno.com.au
E-mail [email protected]
Phone [phone]
Fax [phone]
EUROPEAN REPRESENTATIVE
Ferno (UK) Limited
Stubs Beck Lane, Cleckheaton
West Yorkshire BD19 4TZ, United Kingdom
Telephone [phone]
Fax [phone]
Internet www.ferno.co.uk
ALL OTHER LOCATIONS
For assistance or information, please contact your Ferno
distributor. If you do not have a Ferno distributor, please contact
Ferno Customer Relations:
Ferno-Washington, Inc.
70 Weil Way
Wilmington, Ohio 45177-9371, U.S.A.
Telephone [phone]
Fax [phone]
Internet www.ferno.com
Batch and Serial Number _________________________
Location: Left-hand side lifting handle

3
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
TABLE OF CONTENTS
Section Page Section Page
Ferno Technical Support _______________________ 2
Ferno Customer Relations______________________ 2
1 - Safety Information___________________________ 4
1.1 Warning________________________________ 4
1.2 Important_______________________________ 4
1.3 Be Aware _______________________________ 4
1.4 Bloodborne Disease Notice_________________ 4
1.5 Symbol Glossary_________________________ 4
2 - Operator Skills and Training __________________ 5
2.1 Skills __________________________________ 5
2.2 Training________________________________ 5
3 - About the KED®Pro _________________________ 6
3.1 Description _____________________________ 6
3.2 GeneralSpecications ____________________ 6
3.3 Components ____________________________ 7
4 - Using the Features ___________________________ 8
4.1 Quick-Release Buckles ____________________ 8
4.2 Shortening Torso and Leg Straps ____________ 8
4.3 Lengthening Torso and Leg Straps ___________ 9
4.4 Releasing the Straps ______________________ 9
4.5 Torso Straps ___________________________ 10
4.6 Leg Straps _____________________________ 11
4.7 Modular Pads __________________________ 12
4.8 Lifting Handles _________________________ 13
4.9 Head Straps ____________________________ 14
5 - Using the KED®Pro_________________________ 15
5.1 Before Placing the KED®Pro in Service _____ 15
5.2 General Guidelines for Use________________ 15
5.3 Applying the Cervical Collar ______________ 16
5.4 Removing the KED®Pro
From the Carrying Case __________________ 16
5.5 Placing the KED®Pro Behind the Patient_____ 17
5.6 Applying the Leg Straps __________________ 18
5.7 Wrapping and Positioning the KED®Pro _____ 19
5.8 Fastening the Torso Straps ________________ 20
5.9 Securing the Patient’s Head _______________ 21
5.10 Buckling the Top Strap and
Making Final Strap Adjustments ___________ 22
5.11 Using the Shoulder Strap (Optional)_________ 23
5.12 Extricating the Patient
To a Long Spine Board ___________________ 24
5.13 Straps for a Standing Take-Down (Optional) __ 25
6 - Adapting The KED®Pro In Special Situations ___ 26
6.1 General Guidelines ______________________ 26
6.2 Adapting the KED®Pro for a Pregnant Patient 26
6.3 Adapting the KED®Pro for a Pediatric Patient 27
6.4 Adapting KED®Pro for an Angulated Neck___ 27
6.5 Adapting the KED®Pro for Use
With Monitoring Systems _________________ 27
6.6 Adapting the KED®Pro For Use as a Splint___ 28
6.7 Using the KED®Pro With an
Anti-Shock Garment _____________________ 28
7 - Storing the KED®Pro _______________________ 29
7.1 Storing the KED®Pro ____________________ 29
8 - Maintenance _______________________________ 33
8.1 Maintenance Schedule ___________________ 33
8.2 Disinfecting and Cleaning the KED®Pro _____ 33
8.3 Inspecting the KED®Pro _________________ 33
9 - Parts _____________________________________ 34
9.1 U.S.A. and Canada ______________________ 34
9.2 Worldwide_____________________________ 34
9.3 Parts__________________________________ 34
10 - Accessories and Related Products ____________ 34
Training Record ______________________________ 35
Maintenance Record___________________________ 35

4© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
1  SAFETY INFORMATION
1.1 Warning
Warning notices indicate a potentially hazardous situation
which, if not avoided, could result in injury or death.
WARNING
Untrained operators can cause injury or be injured.
Permit only trained personnel to apply the KED® Pro.
Improper use of the KED® Pro can cause injury. Use the
KED® Pro only for the purpose described in this manual.
Improper application of the KED® Pro can cause injury.
Apply the KED® Pro only as described in this manual.
An unattended patient can be injured. Stay with the
patient at all times.
An unrestrained patient can fall o the spine board or cot
and be injured. Use restraints to secure the patient on the
spine board and cot.
Crossing the shoulder strap over the patient’s neck can
choke the patient. Fasten the shoulder strap only as
described in this manual.
Attaching unapproved equipment or items to the KED®
Pro can cause injury. Attach only equipment or items
specied in this manual.
Improper maintenance can cause injury. Maintain the
KED® Pro only as described in this manual.
Improper parts can cause injury. Use only Ferno parts on
the KED® Pro.
Modifying the KED® Pro can cause injury and damage.
Use the KED® Pro only as designed by Ferno.
1.2 Important
Important notices emphasize important usage or maintenance
information.
Important
1.4 Bloodborne Disease Notice
To reduce the risk of exposure to bloodborne diseases such
as HIV-1 and hepatitis when using the KED®Pro, follow the
disinfecting and cleaning instructions in this manual.
1.5 Symbol Glossary
ThesymbolsdenedbelowareusedontheKED®Pro and/
or in this users’ manual. Ferno uses symbols recognized by
the International Standards Organization (ISO), American
National Standards Institute (ANSI) and the emergency
medical services industry.
General Warning of
Potential Injury
Safety Information
Read the Users’
Manual
General Use
Load Limit
250 kg
550 lb
1.3 Be Aware
Boxes like the one below serve as reminders.
Be Aware
2
Two Trained
Operators Required
Technical Rescue
Load Limit
150 kg
330 lb

5
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro Operator Skills and Training
2  OPERATOR SKILLS AND TRAINING
2.1 Skills
Operators using the KED®Pro need:
● a working knowledge of emergency patient-handling
procedures.
● the ability to assist the patient.
WARNING
Untrained operators can cause injury or be
injured. Permit only trained personnel to apply
the KED® Pro.
2.2 Training
Operator trainees need to:
● read and understand this manual.
● be trained on the use of the KED®Pro.
● practice with the KED®Pro before using it with a
patient.
● record their training information. A sample training
record sheet is provided on page 35.
● receive professional instruction and training in
Technical Rescue procedures before using the KED®
Pro in a Technical Rescue situation.
Important
Technical Rescue procedures require special skills
and are potentially hazardous activities. No rescue
personnel should attempt such rescue procedures
unless they have received professional instruction and
training.

6© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
3  ABOUT THE KED® PRO
3.1 Description
The KED®Pro is an emergency patient-handling device
designed to aid in the immobilization, short transfer
movement, and technical rescue of patients with suspected
spinal/cervical injuries. (Technical rescue requires additional
equipment and specialized training. See Operator Skills and
Training, page 5).
The KED®Pro is for professional use by a minimum of
two trained operators. Additional help may be preferred or
needed.
FEATURES
● Color-coded, sewn-in securing straps
● Wraparoundheadaps
● Wraparoundtorsoaps
● Shoulder strap
● Take-down strap (2)
● Head/chin strap (2)
● Leg straps (2) with removable padding
● Modularllerpads(1large,2small)
● Integrated carrying handles
● Carrying case with integrated backpack
● X-ray translucent (except metal buckles)
● Rated for vertical and conned-space rescue
(specialized training required)
WARNING
Improper use of the KED® Pro can cause injury. Use
the KED® Pro only for the purpose described in this
manual.
About the KED® Pro
3.2 General Specications
Length
Opened,at 830mm/33in.
Rolled, in case 840 mm/33 in.
Width
Opened,at 820mm/32in.
Rolled, in case 245 mm/10 in.
Thickness
Opened,at 35mm/lessthan1.5in.
Rolled, in case 200 mm/8 in.
Weight* 4.5 kg/10 lbs.
Load Limit 250 kg/550 lb
Technical Rescue Load Limit 150 kg/330 lb
Note:Weight includes all straps, padding, and carrying case.
Generalspecications are rounded to the nearest whole number.
Metric conversions are calculated before rounding the Imperial
measurements. For more information, contact Ferno Customer
Relations (page 2) or your Ferno distributor.
Fernoreservestherighttochangespecicationswithoutnotice.
General Use Load Limit
Inspect the KED® Pro if the load
limit has been exceeded (See
Inspecting the KED® Pro, page 33).
250 kg
550 lb
Technical Rescue
The KED® Pro is rated for a one-
person lift for vertical and conned-
space rescue. Specialized training is
required.
150 kg
330 lb

7
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
3.3 Components
Note:The outside view of the KED® Pro is shown below, with straps in storage conguration.
About the KED® Pro
Head/Chin Strap (2)
Modular
Filler Pad (3)
Shoulder Strap (1)
Wraparound Head Flaps
Storage Strap (3)
Color-Coded
Securing Strap (3)
Shoulder Strap
Buckle (2)
Leg Strap (2)
Lifting
Handle (3)
Take-Down Strap (2)

8© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
4  USING THE FEATURES
Using the Features
4.1 Quick-Release Buckles
The torso and leg-strap buckles are snap-lock and quick-
release, blue-colored metal buckles. Shoulder-strap buckles
are white plastic.
To fasten, connect the male and female halves of the buckle
(Figure 1). A distinctive “click” signals that the buckle is
properly fastened.
To unfasten a buckle, press the release tabs on the female
half (Figure 2) and separate the halves.
4.2 Shortening Torso and Leg Straps
Buckled torso and leg straps are shortened in two stages,
rstremovingexcessslackandthensnugging/tighteningthe
straps.
REMOVING EXCESS SLACK
When a torso strap is released from its storage position
there is a large amount of slack. After fastening the buckle,
quickly remove most of the slack by holding the buckle at
an angle to the patient with one hand while you pull the
hemmed end of the strap with the other hand (Figure 3).
Shorten the strap only until you feel the slightest tension.
SNUGGING/TIGHTENING
To prevent twisting or jostling the patient’s torso when
snugging/tightening the strap, use the feed-and-pull tightening
technique below:
1. Grasp the portion of the strap that lays across the
patient’s torso and feed the strap through the buckle
with one hand while pulling it through the buckle with
the other hand (Figure 4).
2. Repeat until the strap is snug tight.
Figure 1 -
Fastening
a Buckle
Male Half
Female Half
Figure 2 -
Unfastening
a Buckle
Figure 3 -
Removing
Excess Slack
Figure 4 - Feed-and-Pull Tightening Technique
Feed
Pull

9
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro Using the Features
4.3 Lengthening Torso and Leg Straps
The technique used for lengthening a strap depends on
whether the strap has been buckled.
LENGTHENING A BUCKLED STRAP
To loosen or lengthen a buckled strap, feed excess strap into
the buckle with one hand as you lift the buckle at an angle to
the KED®Pro with the other hand (Figure 5).
LENGTHENING A FREE STRAP
To lengthen a free strap, hold the male half of the buckle
at an angle to the strap with one hand and pull the strap
backward through it with the other hand (Figure 6).
4.4 Releasing the Straps
Iftorsoandlegstrapswereproperlyconguredforstorage,
they can be released quickly and without tangles when they
are needed. For instructions on conguring the straps for
storage, see Storing the KED®Pro, page 29 and page 30.
TORSO STRAPS
Grasp the male half of the buckle (Figure 7) and pull it from
the elastic keeper.
LEG STRAPS
If you are going to use the leg straps, leave them in the
storageconguration until the KED®Pro has been placed
behind the patient but not wrapped and fastened.
Free the straps from the hook-and-loop fastener on the KED®
Proheadaps,slidethelegstrapsfrombehindthepatient,
and lay them with the male halves within your reach.
If you are not going to use the leg straps, leave them attached
in the storage conguration, where they will not interfere
with applying the KED®Pro.
Figure 5 - Lengthening a Buckled Strap
Hold Buckle Male Half
at an Angle
Figure 6 - Lengthening a Free Strap
Hold Male Half
at an Angle
Figure 7 - Releasing a Leg Strap
From its Elastic Keeper
Elastic Keeper

10 © Ferno-Washington, Inc 234-3396-00 January 2011
KED® ProUsing the Features
4.5 Torso Straps
The KED®Pro is constructed with three torso straps: top,
middle, and bottom. The straps are color coded for easily
matching the left and right pieces (Figure 8).
Whenwrapping the torso aps aroundthe patient, fasten the
middle(yellow)straprst,thenthebottom(red)strap.Donot
fasten the top (green) strap until just before you are ready to
transfer the patient to a long spine board.
Note:The strap buckling and adjusting sequence described
below is a preferred method. This procedure may not be
practical in all rescue situations. Follow your medical director’s
guidelines and local medical protocols.
THE MIDDLE YELLOW STRAP
Fastenthemiddle(yellow)straprst(Figure9).Snugthestrap
onlyuntilthereisspacefor2or3ngerslaidatbetweenthe
strap and the patient’s torso. You will tighten the straps just
before transferring the patient to the long spine board.
The middle strap evenly secures the greatest possible area of
the KED®Pro, providing the greatest patient stability while you
nishapplyingtheKED®Pro.
If the rescue situation or the patient’s condition requires that
you remove the patient from the vehicle more quickly than
anticipated, the stability provided by the KED®Pro with
only the middle strap fastened, and properly tightened, may
be preferable to using no supporting equipment. Follow your
medical director’s guidelines on this issue.
THE BOTTOM RED STRAP
The bottom strap is red in color (Figure 10).
Snugthestrap until there is space for 2or 3 ngers laid at
between the strap and the patient’s torso. You will tighten the
straps just before transferring the patient to a spine board.
THE TOP GREEN STRAP
Leave the top strap unfastened until you are ready to transfer the
patient to the long spine board. This allows the patient to breathe
morefreelywhileyounishapplyingtheKED®Pro.
Important
Attaching ALL straps securely is strongly preferred.
However, the patient's condition or rescue situation
may require the patient to be removed from the
vehicle more quickly than anticipated. Within the
time permitted by the patient's and rescue conditions,
fasten as many straps as possible, in this order:
● Middle strap
● Bottom strap
● Leg straps
● Head/chin straps
● Top strap
Figure 8 - Torso Straps
Figure 9 - Middle Strap Fastened
Figure 10 - Middle and Bottom Straps Fastened
Middle (Yellow)
Top (Green)
Bottom (Red)
Torso Strap Buckle (3)

11
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
4.6 Leg Straps
Follow your medical director’s guidelines concerning the
use of leg straps.
The leg straps secure the pelvis to the lower portion of the
KED®Pro to stabilize the lower lumbar area. The leg straps
also assist in keeping the KED®Pro in place during the
process of extricating a patient from a vehicle or during a
Technical Rescue operation.
LEG STRAP CONFIGURATIONS
Thelegstrapscanbefastenedina“criss-cross”conguration
ora“same-side”conguration,dependingonthepatient’s
condition. For complete instructions, see Applying the Leg
Straps, page 18.
Same-Side Conguration (Figure 11): To reduce pressure
on the groin area, pass the straps under the patient’s legs and
buckle the left strap to the left side of the KED®Pro, and
buckle the right strap to the right side of the KED®Pro.
Criss-Cross Conguration: Pass the straps under the
patient’s legs, then buckle the left strap to the right side of
the KED®Pro and buckle the right strap to the left side of
the KED®Pro.
ALIGN THE STRAPS WITH THE BODY MIDLINE
Whether using the “same-side” or “criss-cross” cong-
uration, you must position the straps as close as possible to
the body midline.
When buckled straps are correctly positioned, they run
straight down from their anchoring points on back of the
KED®Pro (Figure 12) before passing beneath the buttocks.
Note:Positioning the straps correctly for the “same-side”
conguration requires a more focused effort because the
tendency during this application is to place the straps away
from the midline.
Important
To prevent pressure on the groin when using the same-
side conguration, take care to correctly align the leg
straps parallel with the body midline.
Figure 11 - Leg
Straps Applied
In "Same-Side"
Conguration
Figure 12 - Back
View Showing
Leg Straps
Correctly
Aligned Parallel
With the Body
Midline Leg-Strap
Anchoring Points
Body Midline
USING LEG STRAPS DURING
TECHNICAL RESCUE
In Technical Rescue situations such as a vertical lift or
conned-spacerescue,placethelegpadsonthelegstraps.
This will help set the groin area and will minimize pressure
against the patient’s groin.
Using the Features

12 © Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
Using the Features
4.7 Modular Pads
Thethreefoam-lledpadsprovidedarestoredinthelargecarrying
case pocket.
Thepadscanbeusedsinglyorincombinationtollagapbetween
the KED®Pro and the head, cervical collar (or neck, if no collar
is used) or shoulders. The pads can be folded, or two pads can be
joined using the attached hook-and-loop fastener.
The patient’s medical condition, body structure, and head shape
determine the need for padding but most patients will not need it when
properly positioned in the KED®Pro. Always follow local protocols
and your medical director’s guidelines when using padding.
If you need to apply padding:
1. Determine how thick the padding needs to be and choose the
appropriate number of pads.
2. Slide the pad(s) between the KED®Pro and the patient (Figure
13). Depending on the patient’s injuries, body structure, and
head shape, the pad(s) may be positioned behind the head
only; behind the head and neck area; or behind head, neck
area, and the tops of the shoulders.
Always take care to pad without hyperextending or
exing the patient’s neck.
3. Secure the patient’s head with the head straps (see Head
Straps, page 14).
Note:The pads can also be used as splint padding.
Figure 13 - Using a Modular Pad to Fill a Gap
Between the KED® Pro and the Patient

13
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
4.8 Lifting Handles
The KED®Pro is constructed with three lifting handles (Figure 14-
A). Use the handles when adjusting the KED’s vertical position on
the patient and during technical rescue.
Thetwosideliftinghandlesprovidethermestholdsforoperators
to adjust the KED®Produringttingandwhenliftingandmoving
the patient.
The top lifting handle serves as an extension of the leg straps
andoffersarmholdduringconned-spaceorverticalrescueto
horizontally pull or vertically lift the patient. During a Technical
Rescue situation, attach a lifting bridle to all three lifting handles.
Adjust the bridle legs so they apply even pressure on all three
lifting handles.
USING THE KED PRO FOR TECHNICAL RESCUE
When using the three lifting handles for a vertical lift:
● The KED®Pro is rated for a one-person load at 150 kg
(330 lb)
● Use a suitable lifting bridle with a load capacity of at
least 1,500 kg (3,300 lb. or 15Kn). The Ferno®KED®Pro
Lifting Bridle is recommended for this application (See
Accessories, page 34).
● Connect the bridle to all three carry handles and adjust to
ensure equal load on all three carry handles (Figure 14-B).
● Ensure the leg straps and chest straps are tight and secure
before moving the patient.
Important
Technical Rescue procedures require special skills and are
potentially hazardous activities. No rescue personnel should
attempt such rescue procedures unless they have received
professional instruction and training.
Using the Features
Technical Rescue
The KED® Pro is rated for a one-person lift
for vertical and conned-space rescue.
Specialized training is required.
150 kg
330 lb
Lifting Handle (3)
Figure 14- Attaching a KED® Pro Lifting Bridle
To the KED® Pro Lifting Handles
14-A
14-B

14 © Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
Using the Features
4.9 Head Straps
Two universal head straps are provided to secure the head aps in
place. They can also be used to secure the KED®Pro when it is being
used as a splint. Follow your medical director’s guidelines and local
medical protocols for the use and placement of the head straps.
APPLYING THE UPPER STRAP
1. Grasp the center pad of one head strap with both hands (Figure
15-A) and turn the center pad fully inside-out, exposing the
rubber (Figure 15-B).
2. Center the pad just above the patient’s eyebrows with the rubber
against the skin. Position the strap ends at a downward angle and
securethemtothefasteningstripsontheheadaps(Figure16).
Note:Placing the strap ends at a downward angle minimizes the
chance that the strap can slip upward on the forehead.
APPLYING THE LOWER STRAP
Methods for applying the lower strap are described below but there are
alternate methods. Use and secure the strap according to your medical
director’s guidelines.
1. Grasp the strap with both hands and turn the center pad fully
inside-out, exposing the rubber.
2. Select one of the following:
○If using a cervical collar, attach the strap across the neck
area of the collar, beneath the “chin” of the cervical collar.
○If using a cervical collar, attach the strap across the “chin”
of the cervical collar (Figure 16).
○Attach the strap over the patient’s chin (if not using a
cervical collar).
3. Position the strap ends horizontally, or just above the horizontal,
andsecurethemtothefasteningstripsontheheadaps.
4. Make sure the strap placement does not prevent the patient from
opening his/her mouth.
If using the KED®Pro with thehead apsshortened, foldthe head
aps toward the outside of the KED®Pro (away from the patient’s
head as shown in Figure 16 and Figure 17).
Figure 16 - Head Straps in Place
Figure 17 - Head Straps Attached
With Head Flaps Folded Back
Figures 15-A and 15-B - Exposing the
Head Strap Rubber
15-A
15-B

15
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
5  USING THE KED® PRO
5.1 Before Placing the KED® Pro in Service
● Personnel who will work with the KED®Pro need to read
this manual.
● ConrmthattheKED®Pro undamaged and fully functional.
See Inspecting the KED®Pro, page 33.
WARNING
Improper application can cause injury. Apply
the KED® Pro only as described in this manual.
WARNING
An unattended patient can be injured. Stay
with the patient at all times.
5.2 General Guidelines for Use
● Medical advice is beyond the parameters of this manual.
● It is the users’ responsibility to ensure safe practices for the
patient and themselves.
● This manual illustrates use of the KED®Pro in an ideal setting
and should be considered as a guideline only. Other, and
sometimes unusual, settings and circumstances will occur in
theeldandtheKED®Pro can be adapted to many of them. It
istheresponsibilityofqualiedEmergencyMedicalService
personnel to assess the patient’s condition and determine the
proper equipment and procedures to use.
● Follow your medical director’s guidelines and local medical
protocols when using the KED®Pro.
● Optimum use of the KED®Pro includes one operator
manually stabilizing the patient’s head and neck, two
operators applying the KED®Pro, and a fourth operator
managing the long spine board.
In situations where there are only two or three trained
operators available, one operator manually stabilizes the
head and neck while the other(s) applies the KED®Pro.
● Follow standard emergency patient-handling procedures
when applying and using the KED®Pro.
● Maintain manual stabilization of the patient’s head and neck
until the patient is properly secured within the KED®Pro.
● After applying the KED®Pro and transferring the patient to
the spine board, secure the patient to the spine board with
restraints.
● Stay with the patient at all times.
● Operators performing Technical Rescue (using the KED®Pro
foraone-personliftorconned-spacerescue)mustreceive
professional instruction and training in Technical Rescue
procedures.
Using the KED® Pro
Important
Technical Rescue procedures require special
skills and are potentially hazardous activities.
No rescue personnel should attempt such
rescue procedures unless they have received
professional instruction and training.
WARNING
An unrestrained patient can fall o the spine
board or cot and be injured. Use restraints to
secure the patient on the spine board and cot.
Read the Users’ Manual Two Trained Operators
Required (Minimum)
2
General Use
Load Limit
250 kg
550 lb
Technical Rescue
Load Limit
150 kg
330 lb

16 © Ferno-Washington, Inc 234-3396-00 January 2011
KED® ProUsing the KED® Pro
1. Stand the carrying case on end with the open end
facing upward.
2. Pullthengerloopstoopenthecarryingcase.
3. Lift the KED®Pro out of the carrying case (Figure 19).
4. Unfasten the three hook-and-loop storage straps
(Figure 20) and unroll the KED®Pro.
5.3 Applying the Cervical Collar
Apply the cervical collar according to local protocols and the
cervical-collar manufacturer’s instructions.
In Figure 18, one operator holds the patient’s head and neck in
neutral alignment while the other operator applies the Ferno®
WizLoc®cervical collar before the KED®Pro is applied.
AFTER the cervical collar has been applied, one operator
maintains manual stabilization of the patient’s head and neck
until the patient is properly secured within the KED®Pro.
Figure 18 - Applying the WizLoc® Cervical Collar
Figure 19 -
Removing the
KED® Pro from the
Carrying Case
Figure 20 - KED® Pro Storage Straps
Storage Straps
5. Fold the three storage straps back onto themselves
to prevent them from interfering with using the chest
straps (Figure 21 and Figure 22).
6. If the head straps are not stored on the KED®Pro,
remove them from the pocket of the carrying case.
Also remove at least one pad from the accessories
compartment.
Figure 21
- Storage
Strap
Figure 22
- Storage
Strap
Folded Back
Onto Itself
5.4 Removing the KED® Pro from the Carrying Case
Finger Loop

17
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro Using the KED® Pro
5.5 Placing the KED® Pro Behind the Patient
1. One operator continues to hold the patient’s head and
neck in neutral alignment as the KED®Pro is applied.
2. The second operator feels behind the lower torso and buttocks
area of the patient and removes any articles (wallet, belt, etc.)
that could interfere with sliding the KED®Pro between the
patient and the vehicle seat.
3. With the buckles toward the seat, grasp the KED®Pro at the
topoftheheadapandthetopcornerofthetorsoapclosest
to the patient. Ensure the leg straps are on the patient side of
the KED®Pro. Do not loosen the leg straps before placing the
KED®Pro behind the patient.
4. Tilt the KED®Pro at about a 45-degree angle and slide it
behind the patient (Figure 23).
Note:Use the KED®Pro’s vertical rigidity as an aid when sliding
it behind the patient. Tilting the KED®Pro at a 45-degree angle
provides a rigid leading edge to slip between the patient and seat,
prevents the KED®Pro from rolling up, and allows the KED®Pro
to clear the vehicle rooine.
5. The second operator (and any assistants) work the KED®Pro
down between the patient and the back of the seat and then
into the vertical position (Figure 24). Work the KED®Pro far
enoughdownto clear the vehiclerooine and bepositioned
behind the patient’s head when the KED®Pro is tipped to the
vertical.
Note:In certain exceptional situations such as a bucket seat or
racecar seat, the operators may need to move the patient forward
just enough (i.e., a hand’s thickness) to reduce friction so the KED®
Pro slides smoothly between the patient and seat. Coordinate this
effort with the operator stabilizing the patient’s head.
6. While the KED®Pro is moved to the vertical, the operator
holding the patient’s head in neutral alignment lifts his or her
elbow slightly to provide clearance for the KED®Pro, taking
care not to move the patient’s head.
7. Use the lifting handles to center the KED®Pro behind the
patient.
Figure 23 - Sliding the KED® Pro At an Angle
Figure 24 - Centering the KED® Pro

18 © Ferno-Washington, Inc 234-3396-00 January 2011
KED® ProUsing the KED® Pro
5.6 Applying the Leg Straps
If the leg straps are being used:
1. One operator continues to hold the patient’s head
and neck in neutral alignment as the KED®Pro is
applied.
2. If using the leg straps, release them from the fastening
strips at the top of the KED®Pro (Figure 25).
3. If the leg pads are not already in place, slide the leg
pads onto the leg straps with the smooth side of the
pad against the patient’s leg.
4. Pass the leg straps between the car seat and the
patient’s leg, making use of a gap if there is one.
5. Using both hands, “see-saw” one strap into position
under the patient’s thigh, working upward under the
leg and buttock (Figure 26).
6. Reach behind the patient and make sure the strap
lays straight downward from its anchor point on the
KED®Pro, as close as possible to the body midline
(Figure 27).
7. Repeat Steps 1-6 with the other leg strap.
○Ifyouareusingthe“same-side”conguration,do
not cross the straps at the groin. Buckle them on
their sides of origin (Figure 28).
○If you are using the “criss-cross” conguration,
cross the straps at the groin and buckle the straps
opposite their sides of origin.
8. Snug both straps using the feed-and-pull method (see
Snugging/Tightening, page 8). Leave space for two
or three ngers laid at between the strap and the
patient’s leg. You will tighten the leg straps just before
transferring the patient to the long spine board.
Be Aware
Do not use the criss-cross conguration when there
is a suspected groin injury. Use the “same-side”
conguration, or do not use the leg straps. Follow your
medical director’s guidelines for the use of leg straps.
Figure 26
- Placing a
Leg Strap
Under the
Patient’s Leg
Figure 27 -
Leg Straps
Aligned With
the Body
Midline
Leg-Strap
Anchoring Points
Body Midline
Figure 28 -
Leg Straps
Applied
Figure 25
- Placing a
Leg Strap
Under the
Patient’s Leg

19
© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro Using the KED® Pro
5.7 Wrapping and Positioning the
KED® Pro
1. One operator continues to hold the patient’s head and
neck in neutral alignment as the KED®Pro is applied.
2. Wrapbothtorsoapsaroundthepatient’storso,lifting
the patient’s arms only as much as needed to slide the
apsbeneaththem.Thetopoftheapsshouldbejust
below the patient’s armpits (Figure 29).
3. Depending on the size of the patient, use the lift
handles to adjust and raise the KED®Pro to position
thetopedgesofthetorsoapsrmlyintothearmpit
area. You can also use the lift handles to keep the
KED®Pro in place until the straps can be buckled.
Note:With a small patient, it is important to align the head
aps so they are correctly positioned with the patient’s head.
Note:Properly-applied leg straps will also help hold the
KED®Pro in position.
4. Beforefasteningthestraps,foldthetorsoapsback
if needed (see below). Verify that the patient is snugly
against the KED®Pro as fully as his/her body structure
and condition allow (Figure 30).
FOLDING THE TORSO FLAPS
To adapt the KED®Pro for the patient’s size or medical
needs, or to allow medical equipment to be applied, fold
oneortwoslatsofthetorsoapsinward,towardthepatient.
Make sure the buckles and restraints remain available for
use. Follow your medical director’s guidelines.
See Adapting the KED®Pro in Special Situations, pages 26-
28 for some circumstances that may require folding back
thetorsoaps.
Important
It is important to pull the KED® Pro up rmly under the
armpits to make sure the patient’s weight is suspended.
This will reduce the possibility of the patient slipping
downward later while being lifted.
Be Aware
Positioning the patient as fully as possible against the
KED® Pro minimizes the need for padding between the
patient’s head and the KED® Pro. However, be aware
that some patients may not be able to sit fully back
into the KED® Pro.
Figure 30 - Assist
the Patient Into
the KED® Pro
Figure 29 -
Snug the KED®
Pro Under the
Patient’s Armpits

20 © Ferno-Washington, Inc 234-3396-00 January 2011
KED® ProUsing the KED® Pro
5.8 Fastening the Torso Straps
After the KED®Pro 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. One operator continues to hold the patient’s head and
neck in neutral alignment as the KED®Pro is applied.
2. Remove the middle (yellow) strap from its elastic
keeper by grasping the male half of the buckle and
pulling the strap (Figure 28).
3. Fasten the middle strap buckle (Figure 29).
4. Remove the bottom (red) strap from its elastic keeper
and fasten the buckle (Figure 30).
5. Use the feed-and-pull technique to snug both straps,
leavingspacefortwoorthreengerslaidatbetween
the strap and the patient’s chest.
6. You will fasten the top strap and tighten all straps just
before transferring the patient to a long spine board
and the ambulance cot.
7. If time permits, arrange the loose ends of the straps so
they will not snag on objects during the extrication.
A Memory Aid for Fastening Order
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/Chin Straps
Toys = Top Strap
Figure 29 - Middle Strap Fastened
Figure 30 - Middle and Bottom Straps Fastened
Figure 28 - Releasing a Torso Strap
Elastic Keeper