Kendrick Extrication Device

The Kendrick Extrication Device (K.E.D.) is a device that is used in vehicle

extrication to remove victims of traffic collisions from motor vehicles. Commonly
carried on ambulances, the K.E.D. is typically applied by an emergency medical
technician, paramedic, or another first responder. Typically used in conjunction with
a cervical collar, the K.E.D. is a semi-rigid brace that secures the head, neck and
torso in an anatomically neutral position. This position reduces the possibility of
additional injuries to these regions during extrication. The original K.E.D. was
designed by Richard Kendrick in 1978.[1]

Diagram of a Kendrick Extrication

Device
Contents
Description
Application
Rapid extrication
References
External links

Description
Typically there are two head straps, three torso straps, and two legs straps which are used to adequately secure the K.E.D. to the
victim. Unlike a long spine board or litter, the K.E.D. uses a series of wooden or polymer bars in a nylon jacket, allowing the
responders to immobilize the neck and upper spine and remove the victim from the vehicle or other confined space. Although the
K.E.D. can also be used to immobilize infants and children, it is preferable to use specifically designed pediatric immobilization
devices whenever possible. If the K.E.D. is used to immobilize an infant or child, appropriate padding must be used to ensure
complete immobilization in a manner that does not obscure the thorax and abdomen, thereby preventing continued assessment of
these vital areas.

Application
The device can be quickly and easily inserted into the seat of a vehicle by a single rescuer, allows access to the airway and conforms
to any body size.[2] The K.E.D. is typically used only on hemodynamically stable victims; unstable victims are extricated using rapid
extrication techniques without the prior application of the K.E.D.

Once the K.E.D. is slid into position, it is secured to the victim with straps in order to prevent movement. The first strap that is
secured is the middle torso strap. According to the K.E.D. users' manual securing this strap secures the greatest area of the device and
therefore provides the greatest stability while securing the rest of the device. Next the bottom torso strap is secured, however the top
torso strap is not secured until just prior to moving the patient to the long spine board. This is to allow the patient to breathe easily
while the rest of the device is secured. Following the bottom torso strap the leg straps are secured. These may be applied in a "criss-
cross" fashion (according to the K.E.D. users' manual this is the most commonly used method), or applied by securing them to their
respective sides. If there is any evidence of a groin injury the "criss-cross" method cannot be used. Following application of the leg
straps the void between the head and device is padded as needed and the head is secured. Finally, just prior to moving the patient to a
long spine board the top strap is secured.[3] Some schools teach this order by remembering the phrase "My Baby Looks Hot Tonight",
"Money Buys Lots of Hot Toys" or "Maori Boys Love Hairy Teke", where the beginning of each word stands for Middle torso strap,
Bottom torso strap, Leg straps, Head strap and T
op torso strap.

The head pad can bring the head too far forward for the side panels to fully immobilize it. Care must be taken to secure the head
properly to maintain neutral immobilization. If the head is too far forward, the head is brought back to meet the K.E.D. unless
crepitus, pain or resistance is met. If these symptoms are present, the head is immobilized in the position found.

It is worth noting that there is debate and controversy surrounding the exact order of applying the torso straps, with some saying that
the order does not matter, as long as the torso is secured before the head. The K.E.D. users' manual is sometimes used in this
justification with the explanation that it states the reason the top strap is last is a function of breathing, and not the process of
immobilization itself.[4]

Rapid extrication
During rapid extrication, the patient is not immobilized by a K.E.D., but rather taken directly out of the car onto a back board.
Reasons for using this technique include:

The scene is unsafe

The patient's condition is unstable
[5]
The patient is blocking access to another victim.

References
1. K.E.D. Patent http://www.google.sc/patents/US4211218
2. Karbi, OA; Caspari, DA; Tator, CH (1988). "Extrication, immobilization and radiologic investigation of patients with
cervical spine injuries" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1268249). Canadian Medical Association
Journal. 139 (7): 617–21. PMC 1268249 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1268249) . PMID 3046734
(https://www.ncbi.nlm.nih.gov/pubmed/3046734).
3. K.E.D. Users' Manual https://co.grand.co.us/DocumentCenter/View/681
4. K.E.D User's Manual, 2001, p. 11https://co.grand.co.us/DocumentCenter/View/681
5. "Rapid Extrication". New York State Department of Health. Web. 1 Aug. 2013.

External links
Retrieved from "https://en.wikipedia.org/w/index.php?title=Kendrick_Extrication_Device&oldid=817570725
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This page was last edited on 29 December 2017, at 06:34(UTC).

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