Prehospital Emergency Care · 1999 · 32 citations · 11 references
MedicineEmergency Medical ServicesEmergency MedicinePediatric Emergency CarePediatric Emergency MedicinePediatric Orthopedic SurgeryImmobilization SupportSpinal InstrumentationCustom Immobilization DevicesImmobilizationPediatric Spinal ImmobilizationSpinal Immobilization Devices
Child immobilization is difficult because EMS equipment is adult‑sized, often inadequate, and children resist standard strapping, prompting the creation of pediatric‑specific devices. The study sought an ideal pediatric immobilization device that is low‑cost, uses existing equipment, is routinely employed, easily modifiable and teachable, and provides superior static and dynamic immobilization. The Kendrick extrication device (KED) satisfies all these criteria.
Immobilizing a child presents a unique challenge for emergency medical services (EMS) personnel in addition to those challenges faced when immobilizing an adult. Most equipment commonly carried by EMS personnel is sized for adult use and as a result does not routinely provide adequate static or dynamic immobilization of a child. In addition, children often resist immobilization and can free themselves from standard strapping techniques. These problems have led to the modification of existing equipment and the development of several pediatric-specific devices. An ideal pediatric immobilization device would be one that uses an existing piece of equipment, is of limited additional cost, is routinely used by EMS providers, could be easily modified to immobilize a child, could easily be taught to EMS providers, and provides excellent static and dynamic immobilization. The Kendrick extrication device (KED) used as the authors describe meets these goals of an ideal pediatric immobilization device.
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John E. Herzenberg, Robert N. Hensinger, Dale K. Dedrick et al. · Journal of Bone and Joint Surgery · 1989 · 195 citations
The effect of spinal immobilization on healthy volunteers
Dennis Chan, Richard M. Goldberg, Arthur Tascone et al. · Annals of Emergency Medicine · 1994 · 146 citations