The Kendrick extrication device used for pediatric spinal immobilization

D Markenson1, G Foltin, M Tunik

  • 1Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York 10016, USA. dsm1@is2.nyu.edu

Insights

Pediatric immobilization is challenging for emergency medical services (EMS). Modifying the Kendrick extrication device (KED) provides an ideal solution for effective pediatric immobilization.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Medical Device Engineering

Background:

  • Standard immobilization equipment is adult-sized, leading to inadequate pediatric immobilization.
  • Children's unique physiology and behavior complicate standard immobilization techniques.
  • Existing pediatric immobilization devices often require significant modification or are costly.

Purpose of the Study:

  • To identify the challenges in pediatric immobilization for EMS personnel.
  • To define the characteristics of an ideal pediatric immobilization device.
  • To evaluate the modified Kendrick extrication device (KED) as a pediatric immobilization solution.

Main Methods:

  • Review of challenges in pediatric immobilization.
  • Definition of criteria for an ideal pediatric immobilization device.
  • Description of modifications to the Kendrick extrication device (KED) for pediatric use.

Main Results:

  • Adult-sized equipment provides insufficient immobilization for children.
  • A modified Kendrick extrication device (KED) meets the criteria for an ideal pediatric immobilization device.
  • The modified KED offers excellent static and dynamic immobilization for pediatric patients.

Conclusions:

  • The modified Kendrick extrication device (KED) is a cost-effective and practical solution for pediatric immobilization.
  • EMS providers can be easily trained to use the modified KED for pediatric patients.
  • This modification enhances the ability of EMS to provide safe and effective immobilization for children.