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Re: Value of KED (was Re: Extrication practice???)



On Sun, 23 Nov 2003 06:41:35 GMT, "Mike Painter" <[EMAIL PROTECTED]>
wrote:

>I agree with the KED idea but I say keep them for a while.
>They are great for kids and I saw one used to stabalize a hip the other day.
>There's a gadgit on the market for that but the Ked looks and acts a lot
>like it.

Our volume has always been high enough that the cost of KEDs for the
entire system would be prohibitive. Frankly, I'm glad. I seriously
doubt they're worth the money or trouble.

Kids that are sick enough to _need_ a lot of intervention won't likely
need the KED (IMHO), and those that would _need_ the KED to keep them
together, probably need comforting and a ride more than anything else.

Hips? Bah. There is no "good" method of immobilizing a femoral neck fx
(ie. hip fx.). To place a KED and move the patient to the cot will
result in as much (or little) manipulation as just carefully moving
the patient to the cot. Fancy tricks for "immobilizing" hip fx (IMHO)
are more to placate (do something...anything...even if it won't
help...but don't just put 'em on a stretcher). Oh, don't forget the
manipulation that will occur when the ED takes the thing off, probably
when you're gone, along with all the common sense.

Bob



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