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{
    "pk": 8184,
    "title": "Rapid Extrication versus the Kendrick Extrication Device (KED): Comparison of Techniques Used  After Motor Vehicle Collisions",
    "subtitle": null,
    "abstract": "Introduction: \nThe goal of this study was to compare application of the Kendrick Extrication Device (KED) versus rapid extrication (RE) by emergency medical service personnel. Our primary endpoints were movement of head, time to extrication and patient comfort by a visual analogue scale.\nMethods: \nWe used 23 subjects in two scenarios for this study. The emergency medical services (EMS) providers were composed of one basic emergency medical technician (EMT), one advanced EMT. Each subject underwent two scenarios, one using RE and the other using extrication involving a commercial KED.\nResults: \nTime was significantly shorter using rapid extraction for all patients. Angles of head turning were all significantly larger when using RE. Weight marginally modified the effect of KED versus RE on the “angle to right after patient moved to backboard (p= 0.029) and on subjective movement on patient questionnaire (p=0.011). No statistical differences were noted on patient discomfort or pain.\nConclusion: \nThis is a small experiment that showed decreased patient neck movement using a KED versus RE but resulted in increased patient movement in obese patients. Further studies are needed to determine if the KED improves any meaningful patient outcomes in the era of increased evidence-based medicine in emergency medical services. [West J Emerg Med. 2015;16(3):453–458.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "EMS"
        },
        {
            "word": "emergency medical services"
        },
        {
            "word": "pre hospital care"
        },
        {
            "word": "prehospital care"
        },
        {
            "word": "extrication"
        },
        {
            "word": "rapid extrication"
        },
        {
            "word": "kendrick extrication device"
        },
        {
            "word": "ked"
        }
    ],
    "section": "Prehospital Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/78n6p6bx",
    "frozenauthors": [
        {
            "first_name": "Joshua",
            "middle_name": "",
            "last_name": "Bucher",
            "name_suffix": "",
            "institution": "Rutgers University, Robert Wood Johnson Medical School, New Brunswick, New Jersey",
            "department": "None"
        },
        {
            "first_name": "Frank",
            "middle_name": "",
            "last_name": "Dos Santos",
            "name_suffix": "",
            "institution": "United States Navy",
            "department": "None"
        },
        {
            "first_name": "Danny",
            "middle_name": "",
            "last_name": "Frazier",
            "name_suffix": "",
            "institution": "Robert Wood Johnson Emergency Medical Services",
            "department": "None"
        },
        {
            "first_name": "Mark",
            "middle_name": "A.",
            "last_name": "Merlin",
            "name_suffix": "",
            "institution": "Newark Beth Israel Medical Center, Newark, New Jersey",
            "department": "None"
        }
    ],
    "date_submitted": "2014-03-25T14:14:05-04:00",
    "date_accepted": "2014-03-25T14:14:05-04:00",
    "date_published": "2015-04-29T12:11:47-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8184/galley/4708/download/"
        }
    ]
}