ImprovingOccupantProtectionforNon-CriticalPediatricPatients

inAmbulances:

ATrainingCurriculumforEMSPersonnel

ChallengestoTransportingChildreninAmbulances•Nosafetystandardsforpediatrictransport•Childsafetyseatsonlycrashtestedforuseinpassengervehicles•Childsafetyseatsmaynotbeabletobeusedproperly,accordingtoinstructions,inanambulance•Restraintsdesignedandmarketedforambulanceusemaynoteverhavebeencrashtestedornotcrashtestedaccordingtoinjurycriteriainthepassengervehiclestandards•Limitedresearchandrecommendations

BasicGuidelinesforAmbulanceTransport

•Childrenshouldneverbeheldorrideonsomeone’slap

• RestrainingforceroughlyequalsweightofoccupantXspeedofvehicle.

•Uninjuredchildrenshouldrideinapassengervehicle inacarseatorboosterseatappropriatefortheirheight,weight,andagewheneverpossible!

CarSeatsandBoosterSeats:PotentialLocationsforUseinAmbulances

Side-FacingSeatinPatientCompartment

• NEVERinstallacarseatorboosteronaside-facingbenchseatorcaptain’schair.

• Remember:permanufacturers’instructions,carseatsandboostersshouldonlybeusedonvehicleseatsthatfaceforward.

AmbulanceCots

CANNOTuse:Rear-facingonlyseatsOnlyonebeltpath;cannotbeadequatelysecuredtothecot.

CombinationseatswithharnessOnlyonebeltpath;cannotbeadequatelysecuredtothecot.

Boosters:Requirelap/shoulderbelt

AmbulanceCotsCAN use:Convertiblecarseat5-40lbs.InstallfacingtherearoftheambulanceCotstrapsthroughrear-facingandforward–facingbeltpathsDreamRidecarbedInstallperpendicularoncotCotstrapsthroughloopsonbothsidesofthecarbed

Source:www.carseatblog.com

ConvertibleCSSonCot• Goodrestraintperformanceduringimpactandrebound

Recommendations:ConvertibleCSSForchildren5-40pounds:

• Chooseseatwith5-pointinternalharness.

• Positionseatfacingrearofambulance.

• Elevatecotbackresttofullyuprightposition.

• Adjustrestraintreclinemechanismtofitsnuglyagainstcotbackrest.

• Installwithrear-facingandforward-facingbeltpaths.

Bull,2001

Contraindications:ConvertibleCSSonCot

Not appropriateif:• Childacutelyillorunabletomaintainanormalbodytemperature• Child’sinjuriescannotbetreatedinasemi-reclinedposition.• Childmayhaveaspinalcordinjury.• Childrequiresintubation.• Childdoesnotmeetorexceedswt./ht.limitsofCSS.

CarBed

•DreamRidecarbedwithextrabeltloops•Headandtorsowerefullycontained

Recommendations:CarBedForChildren5-20pounds:

• Designedforinfantswhomustlieflat.

• Onlyusecarbedwithtwobeltsystems.

– Secondsetofloopsmustbepurchasedfromthemanufacturer.

• Elevatecotbackresttofullyuprightposition.

• Attachbeltstocotwhereslidingminimized.

• Positionheadawayfromsideofvehicle.

Bull,2001

Contraindications:CarBedonCotNot appropriateif:

• Childacutelyillorunabletomaintainanormalbodytemperature• Child’sinjuriescannotbetreatedwithincarbed• Childmayhaveaspinalcordinjury• Childrequiresintubation• Childdoesnotmeetorexceedswt./ht.limitsofcarbed

RestraintsSpecificallyDesignedforAmbulanceUse

PartFour:

Thesamplingofproductsinthispresentationisnotintendedtobeallinclusiveorimplyendorsementorcrashworthinessofrestraints.

ChildRestraintsDesignedforAmbulanceUse

• CotMountedChildRestraints

• IntegratedChildRestraintsLocatedInsideAmbulanceVehicleSeats

SafeGuardTransportbyIMMI• Cot-mountedrestraintforpatientsover1yearofagefrom22to100lbs.

• Color-codedinstallationsystemforeaseofuse.

• Restraintweighs22pounds.

• 5-pointharnesssystemwithone-handedadjustmentforharnessheightandtightness.

Source:www.immi.net

• Children22-40poundscanusewithcotbackangleat70and45degrees.

• Children40-100poundscanusewithcotbackangleat70degreesandcompletelyflat.

• Not intendedforusewithpotentialspinalcordinjuries.

• Recentlydiscontinued,crashtestfootageremovedfromwebsite

• ContactIMMIaboutbulkorders• www.imminet.com,317-896-9531

Source:www.immi.net

NeoMatebyFerno• Forchildrenfrom7-14lb.

• ForuseonspecificFernoambulancecots.

• “Halo”padkeepsinfant’sheadstable•Fully-adjustable,five-pointharnesssystemfitschildrenfirmly,andprovidessaferestraintduringtransport

•Threerestraintstrapseasilyattachtoanycot

• Rollsupcompactlyforefficientstorageanddeployment

•Contactmanufacturerforcrashtestinformation,www.fernoems.com,1-877-733-0911.

Pedi-MatebyFerno• Forinfantsandtoddlers10-40pounds.

• ForuseonspecificFernoambulancecots.

• 3blackstrapsattachtocot.• 1topstraparoundback

• 2bottomstraps,eachattachedtotheframe

• 5-pointharnesssystem.

• Lightweightvinyl,rollsupforstorage.

• Contactmanufacturerforcrashtestinformation,www.fernoems.com,1-877-733-0911.

PediMatePlusbyFerno•Forchildren10-80pounds.

•ForuseonspecificFernoambulancecots.

•3strapsattachtocot.

•5-pointharnesssystem.

•Madeoflightweightvinyl,rollsupforstorage.

•Contactmanufacturerforcrashtestinformation,www.fernoems.com,1-877-733-0911.

EP-96TheRescu-Air

•Airfilledchildtransportseat

•Forchildren20-40poundsandlessthan40”tall

•Storesin21”x14”x6”paddedcarryingcase

•Weighs12pounds

EP-96TheRescu-Air•Heavydutycotanchoringsystembuiltintolowercushion. Thisenablesinstallationonanycot

•Cotanchoringsystem(EP-75)consistsofthreestraps. Thesestrapsarecolorcodedmakingforeasyidentificationandplacement

•Contactmanufacturerforcrashtestinformation,www.epandr.com,800-322-5725

QuantumQ-ACR4Weightrange4lbs- 99lbsUniversallycompatiblewithanycot4color-codedsizesMachinewashableQuickreleasecheststrapformedicalintervention

QuantumQ-ACR4•Breathablefabricmaximizesairflowandmeetsinfectioncontrolstandards

•Canbeusedsittingorsupine

•Crash-testedtoBSEN(British)ambulancestandards

•Contactmanufacturerforspecificcrashtestinformation,516.321.9494,www.quantumems.com

BabyPodIIbyFerno• Accommodatesinfants

• Featuresinclude:– ashockabsorbentinnerlayer– transparentshieldforviewinginfant– safetystrapstosecureinfantinsidethedevice– strapstosecurethedevicetotheambulancecot– disposablewarmermattress

BabyPodIIbyFerno• Temp.controlmaynotbepreciseenoughforveryLBWorsickinfants.

• Manufacturerapprovedforhelicopterandgroundtransportuse,crashtestinformationavailablefromFernoAviation,www.fernoaviation.com,1-770-521-1005.

IntegratedChildRestraintsinAmbulances• Mayprovidesolutionfortransportinguninjuredchildrenwhomustrideintherearcompartment.

• MayimproveeaseofchildrestraintuseforEMSpersonnel.

• SomemodelsmayprovideEMSoccupantprotectionwhenintegratedrestraintnotinuse.

Hi-BacSeatbyE.V.S.Ltd.

• Designedforuninjuredchildrenwhomustbetransportedintheambulancewiththepatient.

• Accommodateschildren20-50pounds.

• 5-pointharness,foldsdownfromseatback.

• Childrestraintcannotbeusedside-facing.

Hi-Bac SeatbyE.V.S.Ltd.• Canbeequippedwithlap-and-shoulderbeltforstaffuse.

• Contactmanufacturerforcrashtestinformationat1-800-364-3218oronthewebatwww.evsltd.com

GuardianSafetySeatbySerenitySafetyProducts

• 3in1attendantseatwithbuilt-inrear-facingonlyseat,toddlerrestraint,and4-pointrestraintforattendant.

• Contactmanufacturerforcrashtestinformationbycalling1-800-536-0676oronthewebatwww.SerenitySafetyProducts.com

GuardianSafetySeat

• Rear-facingonlyseat5-22lbs

• Facesrearofambulance

• Storesinbackcompartmentoftheambulanceseat

GuardianSafetySeat

• Toddlerandlargerchildintegratedseatfoldsdown

• Forchildren22-85pounds

WhichChildRestraintIsBestforYourAmbulanceService?

Consider:

• Characteristicsofpediatricpopulationservedforscheduledornon-scheduledtransport• Easeofuseduringinstallationandharnessprocedureswhensecuringachildintherestraint.• Easeofcleaningandstorageinsidetheambulance.• Clarityofinstructions• Availabilityofcrashtestreports• Cost