Ferno KED Pro - Extricating the Patient to a Long Spine Board

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© Ferno-Washington, Inc 234-3396-00 January 2011
KED® Pro
Using the KED® Pro
5.12 Extricating the Patient
To a Long Spine Board
Two generally-accepted methods for extricating a patient from
a vehicle are described below. Alternative techniques have been
developed and are in use. Follow your medical director’s guidelines
when choosing a technique.
● Feet First: Two operators pivot and lift the patient while working
from the same side of the vehicle. The operators pivot the patient
so his/her back is toward the midline (inside) of the vehicle.
● Head First: Two operators pivot and lift the patient while a third
operator handles the long spine board. The operators pivot the
patient so his/her back is toward the door of the vehicle, with the
heademergingrst.
Note:
 A triangular bandage wrapped around the patient’s knees and
ankles can help hold the patient’s legs together during the extrication.
Be Aware
Make sure to maintain the patient’s body angle and a straight
midline as you pivot the patient.
1. Operators: Grasp the KED
®
Pro handholds.
2. Operators: Pivot, tilt and lift the patient to place the patient
head-rstorfeet-rst(Figure41)outthevehicledoor.
3. Operators: Lift the patient enough to provide a slight gap
between the patient and the vehicle seat for the long spine board
(Figure 42).
4. Assistant, if present: Slide the appropriate end of the long
spine board between the patient and the seat as far into the
vehicle as possible.
5. Operators: Place the patient on the long spine board (Figure 43).
6. Operators and Assistant, if present: Lift the spine board and
patient out of the vehicle and place them on the ambulance cot.
7. One Operator: Immediately loosen or unbuckle the top (green)
torso strap to allow the patient more chest expansion.
Note: Keeping the remaining straps tightened provides stability for
the patient during the starts, stops, and turns of the ambulance ride
to the hospital.
8. Check the leg straps and snug tight. Properly-applied leg straps will
loosen when the patient is placed supine on the long spine board.
9. Apply a head immobilizer.
10. Secure the patient on the long spine board with the spine
board restraints.
11. Secure the spine board on the cot with the cot restraints.
12. Tighten the shoulder strap.
Figure 41 -
Pivoting the
Patient
Figure 42 -
Lifting the
Patient
Figure 43 -
Placing the
Patient On
the Long
Spine Board
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.