Emegear Xcollar Guía de configuración

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Study&ManipulativeTrainingGuide

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WhatistheXCOLLAR?

TheXCollarisacompleteCervicalSpineSplintingSystemdesignedespeciallyforEMS.Itensuresthe

highestlevelofpatientsafetywhilesignificantlyreducingmovementoftheCervicalSpine.Ithelps

rescuersinthemanagementofpotentialCervicalSpinalinjuriesbysecuringtheheadtothetorsoatfour

points;twoposteriorandtwoanterioraboveandbelowC‐1andC‐7.Thisworkstoeliminateharmful

DistractionbyprotectingtheCervicalSpine.

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WhatistheXCOLLARPlus?

TheXCollarPlusintegratestheXCollarandanAdjustableHeadRestraintSystem(HRS).EachHRS

contains

a

setoftwoVelcrostrapsdesignedtosecurethepatienttothespinalboardbypreventing

lateralandverticalmovement,whileallowinginlinemovementofthepatient’sheadwiththebody.The

HRSalsocontainsanAdjustableOccipitalSupportPadwhichensuresthatproperheightsupportis

providedforpatient’sspinalalignmenttobemaintained.TheAdjustableSupportPadiscapableof

allowingrescuerstoadjusttheheightofthesupportfortheOccipitalasneededfrom0to2”inheight

with4possible1/2”increments.

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ThisnewTechnologyallowsEMSresponderstoprovide:

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1. Betterpatientcareandsafety:EfficientlyprovidesahighlevelofCervicalSpinestabilizationfor

trauma

patientsregardless

ofbodytype,age,orsize,whilealsocapableofimmobilizinginthe

“Position

ofComfort”.

Additionally,theHRSwiththeXCollarPlusallowsrescuerstoprovide

supportfortheOccipitalregionwhileensuringHeadtoTorsounity.Thishelpstoavoidfurther

harmcausedbydynamicforcesduringtransportforinjuriestotheCervicalSpine.

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2. Fastertreatment:30SECONDAPPLICATION.Capabilityofmultiplepatientcarebyasingle

rescuer;reducingpatients’waittimeforinitialtreatment,andactingasaFORCEMULTIPLIER

duringMASSCASUALTYINCIDENTS(MCI).

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3. Thebesttreatmentrequiringlessequipment:Careforsmallpediatricthroughlargeadult

sizepatients(fromapprox.25‐30poundstoover360pounds)withthesamedevice.

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NEWTECHNIQUEOFAPPLICATION:S‐A‐X

•Setup(Deploypriortouse)

•Adjust(CircumferenceandHeight)

•X‐Straps(CompletetheSplint)

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3‐StepEasyApplicationin30seconds:

“S‐A‐X”

(SETUP –ADJUST –X‐STRAPS

APPLICATION)

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#1:SETUP

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ExtendtheXCollartoitslongestsetting.UnfoldtheBackSupportandlockitinplace.

#2:ADJUST

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Encirclethepatientandcapturethechinbeforeconnectingthebuckle.Notethatthechinistheanchor

point,soensurethatthechinproperlycapturedbetweentheChinStrap(infront)andtheFoam

Padding(below).

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Whileholdingthefrontofthedeviceinplace,usethe“push&pull”(OpposingForces)methodtoadjust

SideStrapsevenly(circumferenceadjustment).

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ExtendChestSupportPieceuntilfirmcontactwiththeuppersternumisobtained(heightadjustment).

#3:X‐STRAPSAPPLICATION

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ApplyX‐Straps,usingthe“push&pull”(OpposingForces)method,tothecorrespondingcolor‐coded

VelcroanchorpointswhileensuringtomaintaintensionontheX‐Straps.Thisintegratesanteriorand

posteriorpiecestosplintthepatient.

USEDIRECTOPPOSINGFORCESINEVERYSTEPOFAPPLICATION

Afteracompletedproperapplication,thefollowingcriteriamustbemet:

•Propercapturingofthechin.

•FirmContactofChestSupportonUpperSternum.

•TensiononX‐Straps.

AfterXCollarapplication,youmayproceedtosecurethepatienttothe

spinalboard/vacuum

mattress/rescue

basketbyapplyingtheHEADRESTRAINTSYSTEM

(HRS).

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2‐STEP HRS

APPLICATION:

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1–STACK,SLIDEandSTICK–Oncepatientisonthespinalboard,STACKtheOccipitalSupportpiecestodesired

heightasneededtomaintainproperalignment.SLIDEtheOccipitalSupport

Pad

underthehead.Pull

the

clearfilmstripto

STICKtheOccipitalSupportPadtothe

spinalboard.

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2–SECURINGSTRAPS

APPLICATION

–RemoveoneX‐Strapwhilemaintainingtension,thenplacetheblack

sideofthesquareendtotheXCollarVelcroanchorpoint.ReattachX‐Strap.Wrapthesecuringstraptothespinalboardto

takeofftheslack.DONOTOVERTIGHTEN.Repeatonoppositeside.

Airway Management

1. LoosentheChinStrap,removetheX‐STRAPSandloosentheSideStrapsifnecessary.

2.Obtainairway.

3.Re‐tightenX‐StrapstosecureXCOLLAR.

***Forextra‐largepatientsitmaybenecessarytotemporarilyunclipthebuckletointubate***

www.training.xcollar.com

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Thesehands‐onstepsarerecommendedbyEmegear,LLCwhenapplyingtheXCollardevices.Youmustdemonstratetheseapplicationstoan

“Evaluator”priortoapplyingthedeviceonaninjuredpatient.Pleaseensurethatyoufeelcomfortableapplyingthedeviceinallsituations:

PracticeTips:

Duringapplication,useonehandontheXCollarfrontpiecetocontrolthepatient’sheadandavoidunwantedmanipulation.

DirectopposingforcesmustbeusedduringapplicationtocontrolC‐Spine.

Practicing“realfield”scenarioswillensureahighskilllevelandeaseofuseinthefield.

ResettingoftheXCollartothe“OriginallyPackagedConfiguration”mustbedonepriortoeveryapplication.

Afterapplication,tensionontheX‐StrapsandChinStrapmaybeloosenedtoincreasecompliantpatientcomfortatprovider’sdiscretion.

ApplicationGuide

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S–A– XNeutralPositionApplication

1.SETUP

ExtendtheFrontandBackPieces,thenunfoldandlocktheBackPieceintoplace.

2.ADJUST

CapturethechinbetweentheChinStrapandPadding,andproceedtoencirclingthepatienttoconnecttheBuckletotheBuckleReceiver.

Note:Toeasilyconnectthebuckle,grabthebucklebytheSideStrapandplaceflatagainsttheXCollartoslideitintotheBuckleReceiver.

AdjustSideStrapsevenlytopatientcircumferenceusingOpposingForces.

Note:ThefirstSideStrapadjustedshouldonlyreducethefreespacearoundtheheadsincepropertighteningwillbeachievedoncethesecond

SideStrapisadjustedtothepatient’scircumference.Asyouadjustthecircumference,propercapturingofthechinshouldbemaintained.

ExtendtheChestSupportPiecetotheuppersternumwhilecontrollingc‐spineandpinchLockingTabsintothelockposition.

Note:Justaswithanyothersplint,wearesimplyfillingthegapswithalladjustmentstocustom‐fittheXCollartothepatient.Thereshouldnotbe

patientmanipulationduringapplication.

3.X‐STRAPS

UsingOpposingForces,deploy,andconnectthecrossingX‐Strapstotheircorrespondingcolor‐codedVelcroanchorpoints.

Note:ApplyX‐Strapsthroughthe4guidesunderneaththepatient’schinwhileensuringtomaintaintensionontheX‐Straps.

Supine Position

Application

1.SETUP

ExtendtheFrontandBackPieces,thenunfoldandlocktheBackPieceintoplace.

2.ADJUST

SlideBackPieceata45°angletomidlineunderneaththepatient’sshoulderbladeswhileemployinga“Push‐and‐Pull”(OpposingForces)method.

Note:“Push&Pull”forcesentailpullingupontheclothingasyoupushintheXCollar.BesuretoplacethebucklebetweentheXCollarandthe

floortofacilitateeaseofentryandpositioning.Ideallyyoushouldcomefromthepatient’srightshouldertopreventheadmovement.

PivottheBackPiecetobein‐linewiththespineandensureproperplacementoftheoccipitalpaddirectlyundertheoccipital.

Note:Lookforsymmetryoftheoccipitalfoampaddingonbothsidesofthepatient’sheadforproperplacementandalsoensurethatthesidesof

theXCollararelyingdirectlyunderneaththepatient’searlobes.

CapturethechinbetweentheChinStrapandPadding,andproceedtoencirclingthepatienttoconnecttheBuckletotheBuckleReceiver.

Note:Toeasilyconnectthebuckle,grabthebucklebytheSideStrapandplaceflatagainsttheXCollartoslideitintotheBuckleReceiver.

AdjustSideStrapstopatientcircumferenceusingOpposingForces.

Note:ThefirstSideStrapadjustedshouldonlyreducethefreespacearoundtheheadsincepropertighteningwillbeachievedoncethesecond

SideStrapisadjustedtothepatient’scircumference.Asyouadjustthecircumference,propercapturingofthechinshouldbemaintained.

ExtendtheChestSupportPiecetotheuppersternumwhilecontrollingc‐spineandpinchLockingTabsintothelockposition.

patientmanipulationduringapplication.

3.X‐STRAPS

UsingOpposingForces,deploy,andconnectthecrossingX‐Strapstotheircorrespondingcolor‐codedVelcroanchorpoints.

Note:ApplyX‐Strapsthroughthe4guidesunderneaththepatient’schinwhileensuringtomaintaintensionontheX‐Straps.



SupineApplicationwithHeavyClothing

1.SETUP

ExtendtheFrontandBackPieces,thenunfoldandlocktheBackPieceintoplace.

2.ADJUST

InserttheXCollarbetweenclothinglayersandslideBackPieceata45°angletomidlineunderneaththepatient’sshoulderbladewhileemploying

a“Push‐and‐Pull”(OpposingForces)method.

Note:YouwillneedtointermittentlypullonbothlayersofclothingwhilepushingintheXCollar.

ContinueproperapplicationasperSupineApplication.

InPositionofComfort&Prone

Application



ProperlycompletetheXCollarSETUP,thencapturethechin,encirclethepatient,andconnecttheBuckletotheBuckleReceiver.

TightenLateralSideStraponthesidethepatientisfacingfirstandthencompletetheotherSideStrapsecond.

ExtendandlockAdjustableChestSupportasymmetricallyensuringpaddinghasgoodcontactonsternum.

Note:EnsuretoobtainfirmcontactwiththeuppersternumandpresstheLockingTabstopreventlosingtheobtainedadjustment.

UsingOpposingForces,secureX‐Straponthesidethepatientisfacingfirst,thenfollowwiththeotherX‐Strapsecond.

Note:BesuretomaintaintensionontheX‐Strapsduringapplication.

SpecialCircumstances

Extra‐largepatients:BesuretoloosenthechinstrapandextendthebuckleSideStrappastitsnormalsetting.

Note:WhenyoumovetheBuckleontothehooksoftheVelcroyoumustensurethereisenoughVelcromattingthatitwillstillholdsecurely.

Smallpatients:Pre‐adjusttheChinStraptoitssmallestsettingandpre‐adjusttherightSideStrap(slidingpiece)oftheXCollartothesmallest

setting.

Note:Thisisashortcutthatwillbecomemoreevidentwithexperienceofwhatsizescanbepre‐adjusted.

Limitedaccessandlow‐visibility:Applicationsrequirefamiliarityoftexturedtabs,straps,andconfidenceobtainedwithexperienceduseofthe

XCollar.

Itisuptotheprovider’sdiscretiontodecidetoapplytheXCollarwhentreatingapatientwithseverefacialtrauma.

Note:IftheXCollarcannotbeappliedwithoutmanipulatingthepatient,followlocalprotocolsandmaintainmanualc‐spineuntilproper

applicationispossible.

Airway

Management



BLSAirway:LoosentheChinStraptoallowpropersealingofaBVM.Use“ECclamp”holdingtechniquemakingtheEundertheXCollarChinPiece.

ALSAirway:RemoveX‐Straps,loosenBuckleSideStraptoallowmodifiedJawThrustandproceedwithintubation.

Note:ForALSairwaymanagement,thegoalistogetthechinsupportoftheXCollarawayfromunderneaththechin,sothatwemayopenthe

patient’sairwayasneeded.Alsonotethatforextra‐largepatients,itmightberequiredtouncliptheSideStrapBuckletoobtainanairway.

AfterALSairwayissecuredretightenXCollartohelpmaintainasecuredairwaybyminimizingmovementofthehead.

HeadRestraintSystem

Application



Buildthecorrectamountofpaddingforoccipitalsupporttomaintainanin‐lineposition,andthenstickthepadtothecarryingdevice.

TemporarilydetachX‐StrapandattachSecuringStrap(blacksidefacingdown)ontheXCollarVelcroanchorpoints,thenreattachtheX‐Strapand

repeatonoppositeside.

AttachSecuringStrapstothecarryingdevicewithoutapplyingtension.

Note:IfthereistoomuchslackontheSecuringStraps,itmaybenecessarytowrapanotherlooparoundthecarryingdevicetoadjustproperly.

XCollarRemoval

•UndotheX‐Straps.

•LoosentheBuckleSideStrap.

•UnclipandPivottheBuckletoremove.

www.training.xcollar.com



Skills Verification Shee



Name:Agency:Date:

General XCollar

Application

S–A– XNeutralPositionApplication

1.SETUP

√



ExtendstheSidePieces;UnfoldsandLockstheBackPiece.

2.ADJUST

√

EncirclesthepatientandconnectstheBuckle,whilemaintainingthechinsecuredbetweentheChinStrap(front)andPadding(below).

AdjustsSideStrapstopatientcircumferenceusinga“push&pull”(OpposingForces)method.

ExtendstheanteriorChestPiecetoupperchestwithoutdistractingthec‐spineandlocksitinplace.

3.X‐STRAPS

DeploystheX‐Straps,placesthembetweenthe4guidesmaintainingtension,usinga“push&pull”(OpposingForces)method.

√



AttachestheX‐StrapstothematchingcolorcodedVelcro.

EnsurestheXCollarissecurelyandproperlyapplied.

InPositionofComfort&Prone

Application



ProperlycompletestheS‐A‐XpointsofGeneralXCollarApplication.

TightensLateralSideStraponthesidethepatientisfacingfirstandtheotherSideStrapsecond.

√



ExtendsandlocksAdjustableChestSupportasymmetricallyensuringpaddinghasgoodcontactonuppersternum.

SecuresX‐StraponthesidethepatientisfacingfirstandthentheotherX‐Strapsecond.

SupinePosition

Application



ProperlycompletestheS‐A‐XpointsofGeneralXCollarApplication.

SlidesBackPieceata45degreeangletomidlinebetweenshoulderblades.

PushesontheXCollarandpullsonclothingtoproperlypositionBackSupport.

√



Ensuresproperplacementoftheoccipitalpadwithoutpatientmanipulation.

Airway

Management



LoosenstheChinStraptoallowpropersealingofaBVMmaskusing“ECclamp”holdingtechniquemakingtheEundertheXCollarChin

Piece.



Demonstratesthestepsofremovalinreverseapplicationordertoallowadvancedairwayinsertion.

HeadRestraintSystem

Application



√



Usesthecorrectamountofpaddingforoccipitalregiontokeeppatientinproperin‐lineposition.

DetachesX‐StrapandattachesSecuringStrapontheVelcroandreattachestheX‐Strap(repeatonoppositeside).

AttachesSecuringStrapstothecarryingdevicewithoutpullingtension.

Evaluator’sName:

√



Bysigningthisform,the“Evaluator”isverifyingthattheProvidernamedatthetopofthispagehassuccessfullydemonstratedall

manipulativeskillsrequiredbythistrainingcourseandthisSkillsVerificationSheetinaccordancewiththemanufacturer

recommendations.Emegear,LLCmaynotbeheldliableforanyhands‐onskillsverificationsincetheyarenotbeingverifiedby

manufacturer‐approvedinstructors.



Signature:

Date:

www.training.xcollar.com



ManipulativeTrainingStandards

InstructorandOperatorManipulativeSkillsEvaluationCriteria

1.FollowtheOperatorortheInstructorManipulativeSkillsCheckList.

2.Aminimumof80%ofthetotalpossiblescoremustbeobtainedinordertopass.

3.Timelyapplicationisrequiredinordertodemonstratethestudent’sproperskilllevel:

Thefollowingtimelimitsmustbeusedasareferencetoevaluatethestudents:

a‐XCollarapplicationinNeutralPositionwiththepatientseated.Maxtime:1.0min.

b‐XCollarapplicationinNeutralPositionwiththepatientsupine.Maxtime:1.5min.

c‐XCollarapplication“InPositionFound”withthepatientsupine.Maxtime:2.0min.

d‐XCollarapplicationinNeutralPositionsupinewithheavyclothing.Maxtime:3.0min.

e‐XCollarandHeadRestraintSystem(HRS)applicationonSpinalBoard.Maxtime:4.0min.

f‐FullspinalimmobilizationwithXCollar,HRSandSpinalBoard(Straps).Maxtime:5.0min.

Criteriaforimmediatecorrectiveaction:

a‐Unevenbilateraladjustment:ifsidestrapshavebeenadjustedunevenlythestudentmaycorrectby

looseningonesideandtighteningtheothertoimprovesymmetry.

b‐Toomuchpressureortensiononthestrapsmakingthepatientuncomfortable:looseningslightlyonthe

strapsasnecessarywouldbeappropriate.

c‐ChestPieceadjusteddowntoomuch:WhentheChestPiece(CP)isadjusteddownwardsthepaddingmust

alwaysprotectthepatient’sskin.IftheCPhasbeenadjustedtoofardowntheedgesoftheplasticmay

applypressureontheClavicles.Theusermayreleasethelocksbyholdingthemupandretractingthechest

pieceupwards.

d‐IftheXCollarhasbeenappliedwithnotenoughtension,thelevelofimmobilizationobtainedisreduced.

Theusermayretightenanyofthestrapstosecurethesplintfirmly.

Criteriatodetermineifadditionalpracticeisneededpriortocompletionoffinalmanipulativeevaluation:

a‐ChinhasnotbeenproperlycapturedbetweenpaddingandChinStrap.

b‐Timelyapplicationisnotachieved(morethan20%overreferencedtimelimit).

c‐Excessivemanipulationofthepatientduringapplication.

d‐Notbeingabletodemonstrateairwaymanagementmaneuvers.

e‐Failuretocompletethefinalmanipulativeevaluationwithaminimumscoreof80%

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