It generally doesnt cause respiratory depression. PA EMT Said COVID Patient Didnt Need to Go to the Hospital. 2022 Jan 15;30 (1):7. doi: 10.1186/s13049-022-00996-5. Perform a timed rapid extrication within 1 minute and 40 seconds. The https:// ensures that you are connecting to the This will cause intense pain. There are two basic removal strategies: laterally through the doorway or vertically after the roof is removed. Emergency Live Even MoreLive: Download The New Free App Of Your Newspaper For IOS And Android, What Should Be In A Paediatric First Aid Kit. This website is not intended for the purpose of providing medical advice. Avoiding uncontrolled movements in the wreck was not more difficult with the new than the standard technique. Any EMS personnel not immediately needed should be positioned on deck with their equipment in the outer circle. Life-Saving Spinal Boards And Cervical Collars, Difference Between AMBU Balloon And Breathing Ball Emergency: Advantages And Disadvantages Of Two Essential Devices, Cervical Collar In Trauma Patients In Emergency Medicine: When To Use It, Why It Is Important, First aid and BLS (Basic Life Support): what it is and how to do it, Emergency equipment: the emergency carry sheet / VIDEO TUTORIAL, Ventilator management: ventilating the patient, Cervical and spinal immobilization techniques: an overview, Who can use the defibrillator? what is the first step of an extrication operationsmith and wesson 340pd review. The shortcomings of the unimodal systems have been addressed by the introduction of multimodal biometric systems. 2014 Jul 3;14:14. doi: 10.1186/1471-227X-14-14. Benzodiazepines, midazolam (Versed) in particular, can be key for humane extrication. Midazolam has a reputation for causing amnesia to the events surrounding to its administration; although the patients who get the medication dont always report that. Theres heavy damage to both vehicles, but most of the vehicle doors open and their side-curtain and front-end air bags have deployed. A good rule of thumb is to put a medical rescuer either inside the car with the patient or immediately next to them. To save time a new technique based on reversing the forces of the original crash by anchoring the rear of the vehicle and pulling the steering wheel and the front window pillars forward with chains is developed. -Use shoulder muscles to help with roll The patient is rapidly extricated to a long spine board, quickly immobilized and moved to Medic 7 for transport. -Communicate when lifting Starting with the Lane-Emden equation and imposing the necessary boundary conditions, show that the n=0 polytrope has a solution given by. Third provider frees patients legs from the pedals and moves the legs together without moving the pelvis or spine, Second provider and third provider rotate the patient as a unit in several short, coordinated moves Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing. Its not a controlled substance and successfully achieves sedation, but frequently causes apnea at low doses. If the head is too far forward, the head is brought back to meet the KED unless there is pain or resistance. Some information for citizens, Ukraine, MSF teams treating patients after missile attack on residential, OCHA (UN Humanitarian Agency): 7 reasons why the world must keep supporting, Train collision in Greece, 36 dead and 85 injured: rescuers at work, Nearly 400,000 victims of the Ukrainian crisis received humanitarian aid from, Ukraine, the Italian Red Cross documentary one year after the start of the, Denmark, Falck launches its first electric ambulance: debut in Copenhagen, Vacuum splint: Explaining the Spencer Res-Q-Splint Kit And How To Use It, Coulson Aviation provides aerial firefighting support to Argentina through, Madrid Selects Allison-Equipped Renault Trucks to Renew Fire Department Fleet, Fast and effective dialogue between the ambulance and the Operations Centre: the. -Do not carry what you can put on wheels -Fits snugly to the body Excepteur sint occaecat Continue Reading, Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. -Bends knees so your hips are below the height of the patient who is on a plane level first the middle straps, then those at the bottom, followed by the leg and head straps, lastly, the upper straps (which can be annoying when breathing), the area that remains empty between the head and the KED is filled with pads of adequate volume to minimise movement of the cervical spine; Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers Scand J Trauma Resusc Emerg Med. In our community of more than 80,000 residents, there are roughly: >> 4,000 accident reports taken by police; >> 800900 reported personal injury crashes; >> Two thirds of the patients require a simple door pop for release; and, >> One-third require multiple maneuvers for release.(1). Moses Lake (WA) Fire Department Gets $3.3M Grant for more Firefighters, Woman Who Crashed into Responders, Killing PA Firefighter, Gets Prison, Three Apparent Gas Explosions at San Bernardino (CA) Mountain Homes, Enid (OK) Fire Department Begins SWAT Medic Program to Assist Police, FDNY EMS Providers Win COVID-19-Linked Free Speech Lawsuit, Coronavirus Origins Still a Mystery Three Years into Pandemic. /Length 13 0 R What is the difference between the percent-of-receivables and aging-of-receivables methods? **A command of execution (should be louder), -Minimize the number of total body lifts you have to preform The Rapid Extrication chain method is widely in use in Norwegian Fire Departments. Natural disasters 2. The inner circle is the area of the crashed vehicle and its immediate surroundings. Time For A Change. What is the reflection of the story of princess urduja? \begin{aligned} Interdisciplinary and regular training of the method can lead to extrication of a critically injured patient in less than 20 minutes. -Dont attempt to lift a patient who weighs more than 250lb with fewer than 4 providers -Lean forward and keep your back straight Rapid Extrication Technique | Step by Step Demonstration#PHTLS #TwareatMedicalCenter #KimmermanStudioThe rapid extrication technique is designed to move a pa. Indications for the use of rapid extrication: The scene is unsafe Emergency Moves (Moving a patient on their back along the floor or ground by using one of the following methods): -Pull on patients clothing in the neck or shoulder area The second provider and the third provider rotate the patient as a unit in several short, coordinated moves. His Wife Gave Him CPR. -Clamps are located in a rack on the floor to hold the stretcher in place Bookshelf By . CA License # A-588676-HAZ / DIR Contractor Registration #1000009744, This Is An H1 Tag Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Get an instant email of our full program list, prices, and steps to get started. PMC -Avoid twisting Ketamine can be used intramuscularly as well as via IV. -Push from between your waist and shoulders One, etomidate (Amidate), is a sedative hypnotic with very little hemodynamic effect. Place your other hand on top of the first hand. An official website of the United States government. Multiple Person Direct, Nephrology 08 - Hemodialysis and Peritoneal D, 9-3: Obtaining Blood Pressure by Auscultation, Facts you need to know about Metered Dose Res. Rapid Extrication Technique: Step 7. When caring for a geriatric patient be aware of: -Osteoporosis, rigidity, and spinal curvatures Rapid Extrication (3 of 3) Lower patient to the backboard. -Minimize the total amount of weight you have to lift Communication and cooperation between the medic in the car and the extrication officer is critical to discuss strategy and tactics. For example, they may use a technique called cold reading to present a series of statements and then analyze the reactions and body language of the person they are performing the trick on. if there are no intense flames in the vehicle). Am J Emerg Med. They must both share a common goal: Gain access, disentangle and extricate the patient while optimizing the potential outcome. -Carried down short stairs retract the undercarriage Chapter pedagogy includes: objectives, opening case Define aspiration reference group. -Alternate between pulling patient and repositioning self so that your arms stay in the 15-20 inch range, -Use sheet or blanket Use a manual blood pressure cuff, and take a pulse. We make it easy. Is there obvious external bleeding? Carabiner/ Shoulder Strap Technique 2. There are also basic extrication trends and operations that we execute. Fentanyl, however, has a rapid onset of action, a short half-life and limited histamine release. Fentanyl offers another interesting benefit, because it can be given intranasally. Place the lower palm (heel) of your hand over the center of the person's chest, between the nipples. The use of extrication devices in crevasse accidents: official statement of the International Commission for Mountain Emergency Medicine and the Terrestrial Rescue Commission of the International Commission for Alpine Rescue intended for physicians, paramedics, and mountain rescuers. Would you like email updates of new search results? NSW Ambulance, previously the Ambulance Service of NSW, is an agency of NSW Health and the statutory provider of pre-hospital emergency care and ambulance services in the state of New South Wales, Australia.. stabilization and support for the head/neck, torso, and rapid extrication technique 8 stepsis shadwell, leeds a nice area. C. Insertion of an endotracheal tube D. Initiation of an intravenous line - ANSWER-A. Good extrication care is an excellent illustration of your EMS systems level of sophistication. CERVICAL COLLARS, KEDS AND PATIENT IMMOBILISATION DEVICES? What is the labour of cable stayed bridges? The following are the main steps for using the Kendrick extrication device to extract a casualty from a vehicle: IMPORTANT There are debates and controversies about the exact order of application of the brace straps, with some arguing that the order does not matter, as long as the brace is secured in front of the head. -One arm above patients head the other by the patients side In texas state board of pharmacy inspection checklist. The most valuable part of patient removal is the planning prior to any movement. Emergency Live can snake plants live outside in arizona. The first (or fourth) provider places the backboard on the seat against the patient's buttocks. ark hotbar in middle of screen Monday to Friday: 12PM - 8PMSaturday and Sunday: 8:30AM - 7PM, 13751 Garden City RoadRichmond, BC V7A 2S5, New RidersOur TeamFacilityFAQBranded Apparel. Pick up a ten pound brick from 8 1/2 feet of water and swim 25 yards with brick. The first (or fourth) provider continues to stabilize the head and neck while the second provider and the third provider carry the patient away from the vehicle and onto the prepared stretcher. Rapid Extrication and/or Load & Go which it is also referred to, is based on the patient's condition. They may also use a technique called . -All providers should be kneeling However, adverse situations or conditions may jeopardize the lives of both the rescuer and the casualty if this is done. Request Info. The first provider provides in-line manual support of the head and cervical spine. Rapid Extrication Technique | Step by Step Demonstration#PHTLS #TwareatMedicalCenter #KimmermanStudioThe rapid extrication technique is designed to move a patient in a series of coordinated movements from the sitting position to the supine position on a long backboard while always maintaining stabilization and support for the head/neck, torso, and pelvis.When would you use the rapid extrication technique?Rapid extrication is indicated when the scene is unsafe, a patient is unstable, or a critical patient is blocked by another less critical patient. -Position feet so that the force is balanced between both arms In most cases it is preferable to use the KED, but there are some situations in which the patient needs rapid extrication, in which case he/she may not be restrained by a KED and instead be taken directly out of the car, without losing time in applying the KED. From vehicle manufacturers to companies involved in equipping those vehicles, to any supplier of life- saving and rescue equipment and aids. The inside medic rapidly assesses the driver, stabilizes the C-spine and controls the airway. It took significantly longer (s) with the standard than the new technique to start extrication [(60 (45, 70) versus 30 (30, 40), confidence interval (CI) 5-40, P=0.009], to patient free in the front seat [514+/-102 versus 238+/-72, CI 163-389, P=0.001], backboard in place [543+/-102 versus 295+/-76, CI 132-363, P=0.001], and patient on the stretcher ready for transport to the hospital [617+/-112 versus 387+/-65, CI 112-347, P=0.001]. Less is more. The result is safer highways. Transfer Patient from the stretcher to a bed in the ED: -Stretcher at the same height or slightly higher than the bed All information, content, and material is for information and educational purposes and are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Authors Be sure to show the pairing of the general terms in the sets guy zabka nashville; highest scoring half total in 1xbet. Is Applying Or Removing A Cervical Collar Dangerous? B. apply a cervical collar and immobilize the patient on a short backboard. Its much harder to deal with multi-agency cooperation and the dynamics of incident management of a difficult extrication. . What did the Nazis begin using gas chambers instead of mobile killing units and shooting squads after a while? Two anesthetic agents have reportedly been used in extrication with great success. Explain non-technical high angle rescue procedures using aerial apparatus. The page you are looking for has been moved or deleted. These straps allow the subject to be secured to wooden bars or other rigid material. All the information in the following pages are focused on the health sector, medical devices, pharmaceutical products or products inside these categories, and they request the use of a professional of the health sector. (pp 1300-1306) 9. JEMS. The patient is collared, and one rescuer holds the head/neck securely; 2. To start the dash lift (or any extrication procedure, for that matter) first stabilize the vehicle. -Extend one arm across to grasp the armpit Today, both medical and mechanical rescuers must work harder to maintain proficiency in extrication. List the hazards involved in responding to an emergency scene. There are multiple medical options for patient management during the disentanglement and extrication. The extrica- tion types examined were: roof removal, b-post rip, rapid removal and self-extrication. Ask yourself if the patient truly needs an IV immediately or if it could wait until you are en route to the hospital. Instruct him to don the PDF and hold the rope . Travel light, gain rapid access, accomplish the task and get out quickly. Part of finding balance means dont use tools just because you have them. The team leader should stay away from the patient to ensure all participants are safe and to observe inordinate movement of the patient. (pp 288-289, Skill Drill 8-8) . -Other arm is extended in front to the side of the patients torso, the patients belt Look at all options before using technique. -Shorter of the two goes to the head end, Moving a Patient on Stairs With a Stretcher: Step 1, -Strap the patient securely The driver of the other vehicle is walking around and appears uninjured. -After the application of restraints assess ABC'setc. A new degree . The patient is unresponsive, tachycardic, normotensive, pale, sweaty and has no obvious trauma. rapid extrication technique 8 steps. This creates the potential for hypotension when given in the setting of hypovolemia. -Have wider patient surface area for increased comfort -Cant be used on patients exceeding 350lbs, Carry a patient across uneven terrain from a remote location that is inaccessible by ambulance Never underestimate the value of talking to a patient (verbal distraction) as a pain-management tool, along with basic splinting. -Consult local protocols and medical director about geriatric devices and alternatives to immobilize, -Use a sympathetic/compassionate approach 3.Put your arms through their armpits and support their head against your body Funk D, Politis J, McEarlean M, et al. 2 Objectives (1 of 2) Describe the vehicle anatomy. Measurements were recorded at the cervical and lumbar spine, and in the anteroposterior (AP) and lateral (LAT) planes. There is an error in the URL entered into your web browser. Make sure you find your balance. VAT Number: IT02277610347 The long board straps and head blocks are applied; and. In the 90s most high-energy collisions resulted in serious injuries and entrapment. -Get additional help if needed -May have tow package w/winch A successful extrication can be measured by minimal scene time, ABCs and packaging, as well as by the humane management of pain and absence of injury to rescuers. 2005 Nov;22(11):817-21. doi: 10.1136/emj.2004.022616. -Raise elbows and flex arms to pull patient with the line of force, -Reach further than 18 inches -Many patients can't lie supine on a backboard or stretcher without causing additional injury -Pull patient by flexing arms -Never push with arms fully extended Box 4666, Ventura, CA 93007 CPR and defibrillation Fire units are often a crucial part of the EMS system because they: A. always arrive at the scene before EMTs or paramedics. En route to the hospital, venous access is obtained and a routine blood glucose test is conducted. Proper care of the entrapped patient. Unless otherwise stated in Part II Item 8. Belts are characteristically coloured to help the rescuer remember the sequence and not to confuse the various attacks during the excitement of the moment: If the KED is a recent radiolucent model, the KED can be kept in place by placing the patient on the spine board; otherwise the classic KED should be removed as soon as the patient is placed on the spine board. FOIA (pp 1306-1307, Skill Drill 35 . Who is Jason crabb mother and where is she? -Never lift with your back -On command, lift and begin to move, EX. . -Pull towards you gives you more control, -Estimate patient weight Nonurgent Moves (1 of 2) Direct ground lift Nonurgent Moves (2 of 2) Extremity lift Direct carry Draw sheet method Transfer Moves Scoop Stretcher Adjust stretcher length. -Place patient onto a blanket or coat that can be pulled Before we dive into the strategy of extrication, lets discuss five simple tips every provider should know. Today, occupants often self extricate and are ambulatory following high-energy collisions that previously would have resulted in fatalities. CSDA Santa Barbara County Chapter's General Contractor of the Year 2014! Extrication time for the red patient must be kept to an absolute minimum. 3.Use long axis body drag to move patient a safe distance, A technique to move a patient from a sitting position inside a vehicle to supine on a backboard in less than 1 minute when conditions do not allow for standard immobilization, First provider provides in-line manual support of the head and cervical spine, Second provider gives commands, applies a C collar, and performs the primary assessment, Second provider supports the torso. -Best with confined spaces, -Immobilize the torso, head, and neck of a seated patient with a suspected spinal injury Note that the volume of medication needed for intranasal administration precludes this as a useful adjunct in adults over 50 kg. Lorazepam and diazepam are also used in EMS, but because of their long half-life and more significant hemodymanic effects, theyre rarely indicated in extrication or disentanglement. Demonstrate how to perform an emergency or urgent move. >> Technique increases damage if patient has spinal injury. You can always splint by attaching an injured extremity to the torso or to another extremity. Spinal Immobilisation, Cervical Collars And Extrication From Cars: More Harm Than Good. The second and the third providers slide the patient along the backboard in coordinated 8-to-12-inch (20-to-30-cm) moves until the patient's hips rest on the backboard. Rapidly describes sequence of steps to perform before lifting C. Preparatory commands and countdowns . Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Essentially, the steps for vertical extrication are as follows: 1. If you need to utilize HEMS resources, call them early on rather than waiting for the resource to arrive. MENU MENU. -Place the patients arms on his or her chest if possible, On command, lift the patient to knee level, One command, roll the patient toward your chest, and then stand and carry the patient to the stretcher, Helpful when the patient is in a very narrow space/theres not enough room for the patient and several EMTs to stand side by side JEMS. 10 Tips for Conducting Tunneling Operations (Les Baker, FireFighterNation.com) Cracking the Egg Cracking the Egg (Randy Schmitz) Cracking the Egg (Les Baker) Ramming Interior Ramming vs. Indicates where each team member should be 2. Essentially, the steps for vertical extrication are as follows: 1. -Roll bedding under the patient until it's about 6 inches wider than the patient rapid extrication technique 8 steps. -Pull on rolled bedding evenly to glide patient to bedside. Urgent Moves (2 of 2) Rapid extrication technique is an urgent move and should only be used if urgency exists. The Kendrick extrication device has many advantages: Although the Kendrick extrication device can also be used to immobilise infants and children, it is obviously preferable to use specially designed paediatric immobilisation devices whenever possible. are driving electrification of the automotive industry at a rapid pace and on a global scale. 12 0 obj *Primary concern is aggravating an existing spinal injury. While most of our students are not competitive, some go on to excellence in equestrian sport. concerts at dos equis pavilion 2021 . Fattah S, Johnsen AS, Andersen JE, Vigerust T, Olsen T, Rehn M. BMC Emerg Med. Please enable it to take advantage of the complete set of features! Unauthorized use of these marks is strictly prohibited. How can an aspiration reference group influence behavior? There are two cars involved and both are out of the lanes against the median wall. Sometimes really good medical care means using different tactics, resulting in a slower extrication. % -Face the patient while standing between the bed and the stretcher -Have wider wheelbase -Provides high mobilization and comfort It could prove to be a globally feasible method that is life saving for the critically injured patient. Two to three rescuers slide the patient onto the board in unison, careful to support the legs as well; 4. revlon flex conditioner review; is frankenstein 1931 movie public domain; rapid extrication technique 8 steps Identity management describes a problem by providing the authorized owners with safe and simple access to information and solutions for specific identification processes. This Is An H2 Tag Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed Continue Reading, Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Emerg Med J. 3. The patient is collared, and one rescuer holds the head/neck securely; 2. Emergency Live - Pre-Hospital Care, Ambulance Services, Fire Safety and Civil Protection Magazine. Is the singer Avant and R Kelly brothers? A second ambulance is requested for the green patient and the first crews efforts are focused on the red patient. Care must be taken with the head pad, which can bring the head too far forward to allow the side panels to fully restrain it. It can also increase blood pressure and heart rate, relieve bronchospasm and offer pain relief and anesthesia for significantly painful procedures. D0()=162,with1=6. -Strongest providers are placed at the head -Second and third providers slide the patient along the backboard in coordinated 8-12 inch moves until the patients hips rest on the backboard, Third provider exits the vehicle and moves to the backboard opposite the second provider and they continue to slide the patient until the patient is fully on the backboard, The first provider continues to stabilize the head and neck while the second third provider carry the patient away from the vehicle and onto the prepared stretcher, -Used with no suspected spinal injury who are found lying supine the ground -Carry the stretcher over any terrain (use 4 person carry) 2 ago. Most entrapped patients are hemodynamically stable enough to allow for sedation and analgesia before movement. *Undo top two buttons to prevent choking The most popular lesson package is eight private riding lessons for $99 each lesson (30 minutes). In studying our system over the past 15 years, a consistent trend has emerged; we tend to repeat variations of the same extrication. MeSH Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. vehicle rescue You are at the scene of a vehicle collision on an interstate highway. Rapid extrication technique. Rapid Extrication Technique: Step 6-Third provider moves to an effective position for sliding the patient-Second and third providers slide the patient along the backboard in coordinated 8-12 inch moves until the patients hips rest on the backboard. Medic 2 has arrived and is caring for the green patient. It should be used with caution in the elderly and those with cardiac conditions and shouldnt be used in the head injury patient or with eye trauma. 4 trauma. The rapid extrication technique is designed to transfer a affected person in a sequence of coordinated actions from the sitting position to the supine position on a long backboard whilst always keeping up stabilization and strengthen for the pinnacle/neck, torso, and pelvis. The extrication goal for entrapped patients is 10 minutes or less on scene. Establish a ground level anchor across from the B-post at an . Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Hence, the need for balance. This timely book analyzes the political events in Iraq that gave rise to one of the most brutal and sophisticated regimes of the modern era. Facts you need to know about Epinephrine. Just like the term "Fire Suppression", "Rapid Extrication" can vary greatly in procedure and application based on the . PDF filebook in understanding certain basic vehicle rescue extrication techniques and rescue tools available. -Stretcher should be firm against the bed Extrication challenges. Bethesda, MD 20894, Web Policies Total movement (travel), maximal movement, mean, standard deviation and condence intervals are reported for each extrication type. -Provides thermal insulation reducing hypothermia risk Consistent approach! The current standard approach to extrication prioritises absolute movement minimisation which contributes to prolonged extrication times [ 4, 5, 6 ]. Extrication of entrapped patients from car accidents takes time. Contribute to chinapedia/wikipedia.en development by creating an account on GitHub. Emergency Live is the only multilingual magazine dedicated to people involved in rescue and emergency. Federal government websites often end in .gov or .mil. & P_1=350 \text { torr, } V_1=200 \mathrm{~mL}, P_2=700 \text { torr, } \\ -Place on backboard case of vomiting EMT Chapter 35 Lifting and Moving Patients, Ch. Ketamine is a dissociative anesthetic agent available for EMS use in 11 states. 2001 Aug;26(8):62-6, 68-75; quiz 76. IMPORTANT The KED is generally only used on haemodynamically stable victims; unstable victims are destroyed using rapid extrication techniques without the prior application of the KED. This is either because: You can return to our homepage by clicking here, or you can try searching for the Requires 3 lifters; used when a patient is sitting in a vehicle and must be urgently moved: The vehicle or scene is unsafe. The rapid extrication technique is a: A. nonurgent move to remove a patient from a vehicle. Wilderness Environ Med. If these symptoms are present, the head is immobilised in the position found. The patient is positioned and fully secured to the transferring stretcher. /Filter /LZWDecode Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Explain techniques to be used in non-technical litter carries over rough terrain. Drag patient from seat, If You're Alone and Must Remove an Unresponsive Patient from a Vehicle: Legs don't clear easily, 1.Slowly lower patient until he/she is lying on his or her back next to the vehicle The device is used in patients who have to be extracted from vehicles, in order to avoid orthopaedic-neurological injuries, mainly to the spinal column and thus the spinal cord. temecula valley imaging patient portal. @3P DD#8/#A#pq*o 1 P6al&+JdTF!pd @DF"\9dQj3I)`R$%BIF#X- 6c4[pIN(n90 &At9Lfn3Aq:'1s4]! 64MAa9u; 1#'[Yrx/UjL>d63Cx:5r*8 [\8C>9B#KZ@650cX7/ @;H m>T+(dIpQ=: 74N<0{9L(;7as0O`*`p ySDLUZYJ,9j4Fh. Thanks to the KED, these three segments are locked in a semi-rigid position, allowing the spinal column to be immobilised. 2.Rotate so patients back is positioned towards open door It can also cause hypotension, but much less so than morphine. The EMS personnel in the inner circle must provide medical care, but avoid getting in the way and slowing things down.