Kendrick extrication device

From WikiMD's medical encyclopedia

Kendrick Extrication Device (KED) is a specialized medical equipment used in the pre-hospital setting for the safe and efficient extrication of victims from motor vehicle accidents or other confined spaces where spinal injuries are suspected. The device is designed to provide rigid support to the torso and cervical spine, minimizing movement and potential exacerbation of spinal injuries during the extrication process.

Overview

The Kendrick Extrication Device consists of a wrap-around design that can be securely fastened around the patient's torso, neck, and head. It is equipped with straps and buckles that adjust to fit the patient's size, ensuring a snug and supportive fit. The device is typically constructed from durable materials that are easy to clean and capable of withstanding the rigors of emergency medical services (EMS) operations.

Usage

The primary use of the Kendrick Extrication Device is in scenarios where a patient needs to be removed from a confined space, such as a damaged vehicle, while maintaining spinal alignment and minimizing movement. The device is particularly useful in situations where a traditional long spine board cannot be easily maneuvered or inserted. EMS personnel are trained to apply the KED while the patient is still seated, securing the device before moving the patient to a more accessible location or a stretcher for transport.

Benefits

  • Spinal Immobilization: The KED provides significant support to the cervical and thoracic spine, reducing the risk of further injury during movement.
  • Versatility: Its adjustable straps and compact design make it suitable for a wide range of patient sizes and scenarios.
  • Patient Comfort: Compared to rigid spine boards, the KED can offer a more comfortable means of immobilization and transport, especially over longer distances.

Limitations

While the Kendrick Extrication Device offers numerous benefits, it also has limitations. It is not suitable for use in patients with suspected lumbar spine injuries or in situations where the patient cannot be safely seated upright for application of the device. Additionally, proper training and experience are required to use the KED effectively, as improper application can lead to inadequate immobilization or further injury.

Training

EMS personnel receive specific training on the proper use of the Kendrick Extrication Device, including scenarios that simulate real-life extrications. This training is crucial for ensuring that the device is used effectively and safely, minimizing the risk of additional harm to the patient.

Conclusion

The Kendrick Extrication Device is an essential tool in the arsenal of emergency medical services, providing a means to safely extricate and immobilize patients with suspected spinal injuries from confined spaces. Its design and functionality make it a valuable asset in pre-hospital care, contributing to the overall goal of reducing morbidity and mortality associated with spinal injuries in trauma patients.


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Contributors: Prab R. Tumpati, MD