What do you guys think of the KED? Its a little overwhelming for me and I dread being in the situation where its necessary for me to use this. Am I the only one who feels this way? How often do other use this? And how often have you run into problems with KED?
What I find interesting is so many claim to be good practitioners and follow treatment protocols to the letter "T". These are the same ones that always claim to "do basics before advanced" etc., etc... Yet, they will not use an indicated extrication device that has proven to prevent further injuries to the patient while extricating them?
I don't/won't say that they do not know how to use them, almost every one practices over and over. Let' s call it as is.... L-A-Z-Y ! Would one not splint to prevent further injuries?
Let's review the National Standard Curriculum. You know the one that is judged by in the court of law? Patients presenting cervical/thoracic injuries are to be immobilized as much as possible before removal from the auto and then placed onto a LSB.
Yes, sure there are instances the patient may not warrant this.... field clearance of C-spine and those that warrant immediate removal from the auto (spinal injuries is the least of their injuries).
When I read that of those that hardly never or barely use extrication devices, I wonder if they respond to many MVC's or patients that never complaining of neck and thoracic pain? Something I really doubt.
Another great consideration for KED usage is a pt. that is sitting up when found, positive for trauma but airway might be occluded if laying down. Think hit in the head at a construction site or something and is now bleeding from the mouth.
I've never done it for a situation like that one but I have heard about them.
Another one was something I encountered... Extremely claustrophobic patient that was so freaked out by by the confinment of the collar, board, head bed, and straps that he started to get violent. Extreme thoracic spinal pain following a crash and back boarding was warrented. Had the patinet on the Long Board when we convereted to a KED. While the Medic was not happy with it, he was transported in a KED and sitting upright on the gurney. Not the optimal way to approach a potential spinal injury, but you gotta do what you gotta do.
The KED Board takes some time to get use to but when you do master it, it can come become a great tool. One thing my instructor told us back in class is an acronym to remember how to strap the pt in, "My Baby Looks Hot Tonight".
I hope this might help you, it did for me.
I was taught it in a different order ("My Baby Looks Looks Too Hot"):