Seated Immobilization

Resources Required:

1. Three rescuers
2. Cervical Spine Immobilization Collar (C.S.I.C.)
3. Kendrick Extrication Device (K.E.D.)

Note: only performed on a stable, i.e. non-critical patient

• Take or verbalize body substance precautions
  "Do I have adequate BSI?"
• Stabilize the spine in neutral in-line position
• Pass spinal stabilization to partner
  "My partner will maintain spinal stabilization."
• Measure and apply collar
• Test P.M.S. for extremities
• Place one hand at chest, one at back, then lean patient forward to about 30 degrees -- just far enough to apply Kendrick Extraction Device (K.E.D.)
• Note: patient leans forward and supports their own weight with cervical stabilization
• Apply K.E.D.
• Apply straps to patient
  • Torso straps on inhalation
  • Leg straps
    Left strap moves under patient's thigh using a "scissoring" motion, then up and across the right leg; then snap the buckle shut on the clasp at right side of KED
    Note: Contraindications for leg straps:
    1. Extreme Obesity
    2. Imminent Childbirth
    3. Genital Injury
    In such cases, straps are secured on the same side of KED; they do not cross to the opposite side
  • Head strap around forehead
  • Chin strap around chin area of collar
• Test P.M.S. for extremities
• Two rescuers move patient for extraction
  
  • One rescuer on either side, using side handles and supporting under the patient's thighs
  • One rescuer maintains c-spine stabilization
• Verbalize moving patient to long board

Note: as per NYS DOH requirements, candidates must fulfill the following requirements:

• Not release or order release of manual immobilization before it was maintained mechanically
• Ensure that patient was not manipulated or moved excessively to cause potential spinal compromise
• Did not move device excessively on patient's torso
• Head immobilization does not allow for excessive movement
• Torso fixations does not inhibit chest rise, resulting in respiratory compromise
• Upon completion of immobilization, head is in the neutral position
• Immobilized the torso before the head
  Note: This was contradicted by instructor during practical session
• Complete the station within a 15 minute time limit.