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TPOD

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Subido el 12 de enero de 2020 por Miriam R.

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We have created this training video using a format that contributes to enhanced and accelerated learning. 00:00:01
However, we recognize some trainers will want to move freely throughout the video in order to better support their training schedules and processes. 00:00:07
Therefore, the following time code markers are provided for the trainer who wishes to move forward or backward in the video to a specific training section. 00:00:15
Every day, thousands of EMS personnel respond to emergencies involving traumatic pelvic injury. 00:00:27
These pelvic fractures have a mortality rate of between 5% and 50% due in part to the significant 00:00:33
hemorrhage that may occur in the pelvis with minimal external signs. 00:00:39
Achieving pelvic stabilization and reducing the pain caused by a pelvic injury is difficult 00:00:43
to achieve outside of the hospital environment. 00:00:48
Left untreated, pelvic injury is painful and can be lethal. 00:00:51
In trauma patients that have suspected pelvic fracture and possible internal bleeding, EMS 00:00:56
providers need rapid access to a non-invasive, life-saving pelvic stabilization device that 00:01:02
can be applied quickly and easily in any environment. That device is Ping Medical's 00:01:08
T-Pod Responder. The T-Pod Responder pelvic stabilization device, with its patented 00:01:13
circumferential tightening mechanism, provides the most effective means of stabilizing injuries 00:01:19
to the pelvis while mitigating pain and reducing blood loss from pelvic injuries, 00:01:24
which may include pelvic fractures. 00:01:29
The T-Pod Responder is lightweight and compact. 00:01:32
The T-Pod Responder comes packaged in a sealed, durable Mylar bag 00:01:36
complete with step-by-step instructions. 00:01:40
The package is quick-opening, lightweight, and easily fits in any aid bag. 00:01:42
Efficient. 00:01:49
The mechanical advantage pulley system can be easily closed with one hand. 00:01:50
This makes the application of the T-Pod Responder possible 00:01:54
when only one provider is available on the scene. 00:01:58
Easy to use. 00:02:01
The T-Pod Responder can be applied under any conditions, 00:02:02
in any environment, working in moving vehicles, 00:02:05
in confined spaces, and under conditions of limited visibility. 00:02:08
Rapid deployment. 00:02:12
The adjustment mechanism, or patented pulley system, 00:02:14
allows for pelvic stabilization in seconds. 00:02:16
Compatible. 00:02:20
The T-Pod Responder is latex-free, 00:02:21
and it is 100% radiolucent and non-metallic, 00:02:24
making it completely x-ray, MRI, and CT scan compatible. 00:02:27
Adjustable. 00:02:33
The T-Pod Responder's belt can be folded or cut to fit the patient. 00:02:34
For larger patients, two belts can be linked together using the hook-and-loop surfaces. 00:02:38
This highly adjustable system allows the responder to provide circumferential compression 00:02:43
to virtually any size patient. 00:02:47
Before we learn the application steps, 00:02:49
let's familiarize ourselves with the important nomenclature of the T-Pod Responder 00:02:52
so that we can know how to navigate our way around the device. 00:02:55
The X-ray Detection tab, or XRD tab, shown here. 00:02:59
This is the only feature of the T-Pod Responder that will be visible during X-ray, MRI, or CT scans. 00:03:04
Removing a pelvic stabilization device to facilitate medical treatment or imagery can be painful and dangerous. 00:03:11
With the T-Pod Responder, removing the device is not necessary. 00:03:17
The tab is hook-and-loop backed, so it can easily be moved to the optimal position at any time the teapot is in use. 00:03:20
The teapot belt is light, flexible, and malleable, easily forming to the patient's shape as it compresses around the pelvis, providing symmetric pressure. 00:03:29
The application history label is printed with typical categories of necessary data. 00:03:40
The provider can use permanent markers to annotate the application time and any reapplication times following adjustments. 00:03:45
When used, this feature ensures an accurate record of the TPOD responder's application timeline. 00:03:53
The pull tab is an ergonomically designed handle, complete with finger loop, that allows the provider to securely pull the adjustment cord. 00:03:59
This engages the adjustment pulley mechanism to evenly close the belt opening and circumferentially compress the pelvis. 00:04:07
The locking hooks. 00:04:14
Seen here are four small composite hooks molded into the surface of the adjustment mechanism. 00:04:16
These hooks are used to store and secure the 36-inch or 91-centimeter long cord of the adjustment mechanism. 00:04:21
Properly used, they prevent accidental loss of circumferential pressure 00:04:28
due to rapid and uncontrolled loosening of the adjustment mechanism. 00:04:32
They are necessary to shorten the adjustment cord 00:04:36
so that the pull tab can be safely secured to the front of the adjustment mechanism. 00:04:39
The adjustment cord guides, seen here, 00:04:43
bring the two adjustment cords together and guide them as the provider tightens 00:04:47
the mechanism. 00:04:51
These guides are an application reference point that you will learn in 00:04:52
the training portion of this video. 00:04:56
Make a mental note on their location relative to the device 00:04:58
as you will be asked to reference them during the application protocol. 00:05:01
The mechanical advantage pulley system 00:05:05
ensures a simultaneous circumferential compression of the pelvis 00:05:08
requiring a minimal application of force on the part of the provider. 00:05:12
The patented pulley system does the difficult work for the provider, and unlike some devices, 00:05:16
this system allows the provider to apply a wide spectrum of pressure, gauging the exact 00:05:21
amount necessary to effectively compress the patient's pelvis. 00:05:26
Application Talk-Through The application of the TPOD responder is a 00:05:31
simple six-step procedure. 00:05:35
However, before we learn the steps in sequence, let's talk through the entire procedure to 00:05:37
familiarize you with some of the finer points of the application. 00:05:42
Think about number one, the position, number two, placement, three, compression, four, 00:05:47
lock and secure, and five, record and transport. 00:05:53
These concepts will be explained in detail, and later we'll directly relate them to 00:05:59
the application steps. 00:06:03
If the decision is made for pelvic stabilization, your first consideration in the application 00:06:06
protocol is position, meaning how to position yourself relative to the patient and how the 00:06:10
patient will be positioned before the application begins. 00:06:16
As always, you must follow the guidance and established protocols of your direct medical 00:06:21
oversight. 00:06:25
That supersedes any instruction given here. 00:06:26
Whenever possible, and if your protocols permit, you should assess digital pulse and nerve 00:06:29
sensation in the patient before and after applying the teapot responder. If so directed, it is 00:06:34
important to assess critical findings before and after each intervention. Optimally, the patient 00:06:39
should be positioned supined or flat on their back. You should begin work perpendicular to the patient 00:06:45
at the patient's pelvis, and optimally, if you can, it is best to position yourself with your 00:06:52
dominant hand superior or toward the patient's head. Clear away any loose clothing or gear that 00:06:57
could impede your access to the patient's pelvic region. Understand you're going to wrap the T-pod 00:07:02
belt completely around the patient's pelvis and then circumferentially compress. Therefore, do 00:07:09
what is necessary to give yourself a clear application pathway by removing gear, excess 00:07:15
clothing, or debris. Next, think placement. Open the Mylar package, remove the T-pod device, and 00:07:20
immediately separate the adjustment mechanism and the belt. Place the adjustment mechanism on the 00:07:27
patient's chest with the adjustment cord guides closest to you. This ensures that pull tab will 00:07:33
be close to you and that the action necessary to complete the compression will be pulling toward 00:07:39
you. Pick up the belt and orient it. The textured side faces the patient. The hook and loop side 00:07:44
faces out. With the belt oriented hold one end in your dominant hand. Use the relief typically 00:07:51
formed by the curvature of the lumbar spine on the patient and using your dominant hand guide 00:07:59
the pelt under the patient and reach across the patient with your non-dominant hand to capture 00:08:04
and position the belt. You want to pull the amount you visually estimate will allow you to wrap the 00:08:09
belt around the patient leaving the end three to four inches short of the patient's midline. 00:08:15
This initial measurement allows you to bring the standing end, or the end closest to you, 00:08:20
up and around the patient. You trim this end of the belt again three to four inches from the 00:08:25
midline. When complete, you should have a six to eight inch gap relative to the midline. This gap 00:08:31
will be closed by the adjustment mechanism, and it is the closing of this gap that will provide 00:08:38
the circumferential compression of the pelvis. The iliac crest of the patient should be aligned 00:08:43
with the upper superior edge of the belt. 00:08:49
If you cannot identify this anatomical landmark, 00:08:51
try using the patient's greater trochanters. 00:08:54
The trochanters are typically more difficult to acquire. 00:08:57
However, if you must use this reference point, 00:09:01
the belt should be positioned so that the greater trochanters 00:09:03
are aligned with the center of the belt, 00:09:06
between the superior upper and inferior lower edges of the belt. 00:09:08
In some cases, it may be necessary to gently roll the patient 00:09:12
in order to correctly position the belt. 00:09:16
When the belt is properly positioned, check for the iliac crest and the upper edge alignment, 00:09:19
or look for the greater trochanter alignment, and then bring the standing end of the belt up and over the patient. 00:09:24
Optimally, you should cut the belt with trauma shears or, if necessary, a blade, 00:09:32
leaving the standing end 3 to 4 inches short of the patient's midline, just as you did on the opposite end of the belt. 00:09:37
If for some reason you cannot trim the belt, you can still complete the application by folding the standing end of the belt back under itself as shown here. 00:09:43
Holding the belt with your non-dominant hand, pick up the adjustment mechanism and position it so that the adjustment cord guides are closest to you. 00:09:55
You will have the most control if you position the adjustment mechanism with the distal portion anchored first. 00:10:03
Now align the front edge of the adjustment pulleys with the leading edge of the belt, as shown in this example. 00:10:09
Holding the distal end of the adjustment mechanism with your non-dominant hand, pull the mechanism toward you and lay the mechanism onto the belt. 00:10:15
Again, the device is properly aligned when you have the front edges of the pulleys aligned with the leading or trimmed or folded edges of the belt. 00:10:24
Simply lifted off the belt and repeat 00:10:33
the placement steps until you have the device aligned as instructed. 00:10:37
Double check the hook and loop of the adjustment mechanism 00:10:40
applying even pressure to be certain to securely anchored 00:10:44
and ready for compression. Grasp the pull tab in your dominant hand 00:10:47
and do not release it until the compression movement is completed 00:10:51
and the adjustment cord is locked and secure. This allows you to maintain 00:10:55
positive control of the pull tab and cord 00:10:59
preventing unnecessary tangles or twisting. 00:11:02
Your next consideration is compression. 00:11:06
Using even pressure, pull toward you with the pull tab 00:11:09
and observe as the adjustment pulleys close the gap 00:11:12
and apply circumferential compression. 00:11:15
Apply circumferential pressure until the belt is tight. 00:11:19
The amount of pressure required to stabilize the pelvis 00:11:23
will vary. 00:11:26
The adjustment pulleys allow the provider 00:11:27
to apply exactly the amount of force they deem necessary. 00:11:29
Once the pelvis is stabilized, you can lock and secure the teapot. 00:11:34
Do this while keeping the pull tab in your dominant hand and while maintaining constant 00:11:39
pressure. 00:11:43
Use your non-dominant hand to guide the adjustment cord into the locking hooks, as shown here. 00:11:44
Regardless of direction, clockwise or counterclockwise, maintain pressure on the pull tab and guide 00:11:50
the cord into the locking hooks until the pull tab is brought to within 6 inches of 00:11:55
the adjustment mechanism. Now secure the pull tab to the adjustment mechanism using the 00:12:00
hook and loop backing. Your final step is to record the application time on the application 00:12:05
history label. Application Steps. This portion of the training video demonstrates all of 00:12:11
application steps in sequence. Step one, position. Position the patient. Position yourself relative 00:12:20
to the patient. Step two, placement. Prepare the application pathway by clearing away excess 00:12:29
clothing, gear, or debris. Unpack the teapot responder, separate, and set the components 00:12:36
within easy reach. Position the teapot belt by sliding the belt under the lumbar spine of the 00:12:42
patient. Now check the length. You want to leave three to four inches between the end of the belt 00:12:53
and the patient's midline. Pull the belt toward the patient's feet. It may be necessary to gently 00:13:01
roll the patient to help position the belt. Adjust the position of the belt relative to one of two 00:13:07
anatomical landmarks. First, use the upper iliac crest of the patient, and if for some reason this 00:13:15
is not possible, try using the greater trochanters. The top edge of the belt must be aligned with 00:13:22
the upper iliac crest or the trochanters must be positioned relative to the middle of the 00:13:28
belt. Once positioned, trim the belt to fit using trauma shears or, if necessary, a blade. 00:13:32
Cut the near end of the belt, leaving three to four inches from the midline, just as you 00:13:40
did for the opposite side. Once the belt is trimmed, hold the belt with your non-dominant 00:13:43
hand and pick up the adjustment mechanism in your dominant hand to position it. 00:13:49
Attach the far end of the belt first. 00:13:55
Do this by laying the adjustment mechanism so that the leading edge of the mechanical 00:13:58
advantage pulley system matches the leading edge of the far side of the belt. 00:14:02
Holding the belt and mechanism with your non-dominant hand, pull the mechanism toward you and lay 00:14:08
it down on the near side belt. 00:14:13
Now check the placement of the mechanism and the belt. 00:14:16
If not satisfied, remove and replace the mechanism. 00:14:19
If satisfied, move to step three, compression. 00:14:23
Pull the pull tab toward you. 00:14:28
Use even pulling force. 00:14:30
Use your non-dominant hand to guide and monitor the application of the circumferential pressure. 00:14:32
When the pulley system has closed the six to eight inch gap, or if you feel the pelvis 00:14:37
is stabilized, then begin the next step. Step four is to lock and secure the teapot 00:14:42
adjustment mechanism. Maintain constant pressure on the pulley system by keeping the pull tab 00:14:48
in your dominant hand. Do not release the pull tab under any circumstances. Guide the 00:14:54
adjustment cord into the locking hooks while you move the cord in a clockwise or counterclockwise 00:14:59
direction. Stop wrapping the cord when the pull tab is six to eight inches from the surface 00:15:05
of the adjustment mechanism. Using the hook and loop backing on the pull tab, secure it to the 00:15:11
surface of the mechanism. And step five, record the time of the application on the application 00:15:16
history label. Reapplication considerations. Occasionally, medical providers may want to 00:15:22
inspect the patient's skin integrity or perform other assessments. This will require the release 00:15:32
of the circumferential pressure to permit inspection and the reapplication of the teapot 00:15:37
responder and the reapplication of circumferential pressure. Simply reverse the process using your 00:15:42
dominant hand, grasp and lift the pull tab, and maintain pressure and positive control of the tab 00:15:48
and cord. Using your non-dominant hand, guide the cord as you detach from the locking hooks. 00:15:54
Lift the attachment mechanism on the far side, lifting and pulling the adjustment mechanism 00:16:03
toward you. Keep positive control of the entire mechanism, cord, and tab. Set the mechanism 00:16:07
out of the way and conduct your inspection. When complete, set the adjustment mechanism 00:16:14
down on the top of the belt and secure the hook and loop surfaces. Now grasp the pull 00:16:21
tab in your dominant hand and pull toward you, applying even pressure. Using your non-dominant 00:16:27
hand, guide the adjustment cord into the locking hooks in a clockwise or counter-clockwise 00:16:33
direction. Stop wrapping when you are six to eight inches from the surface of the adjustment 00:16:38
mechanism. Secure the pull tab to the belt. Record the reapplication time on the application history 00:16:44
label. At a minimum, circumferential compression should be released every 12 hours to check for 00:16:50
skin integrity and provide wound care as necessary. Ping Medical's T-Pod Responder provides safe, 00:16:56
secure, and effective stabilization treatment for pelvic injuries 00:17:03
and possible pelvic fractures. Independent studies have confirmed 00:17:06
the teapot responder's effectiveness in binding the pelvis, reducing blood 00:17:11
loss, and lowering complications associated with the injury. 00:17:15
Clinical use warning. Reuse of the 00:17:20
teapot responder is not recommended once it has been used on an injured person 00:17:23
due to the potential for cross-contamination. Serious injury 00:17:27
or death may result. Why T-pod responder? Pelvic fractures have a mortality rate of 5 to 50 percent 00:17:30
due mainly in part to the significant hemorrhage that may occur in the pelvis with minimal external 00:17:39
signs. Achieving pelvic stabilization and reducing pain from a pelvic injury is difficult to achieve 00:17:44
outside of the hospital environment. The T-pod responder is a non-invasive, life-saving pelvic 00:17:50
stabilization device that can be applied in any environment. Considerations. If an obese patient 00:17:57
requires pelvic stabilization utilizing the T-pod responder, two belts can be combined using one 00:18:06
power unit as an extender and the other as the pulley and tightening mechanism. Monitor pulse 00:18:13
and blood pressure in accordance with your organizational protocols. The T-pod responder 00:18:19
should be replaced when soiled or after every 24 hours of continuous use. 00:18:25
Place Foley catheters prior to the application as needed. 00:18:30
Children under 50 pounds or 23 kilograms may be too small to obtain the 6-inch gap needed for closure. 00:18:35
Subido por:
Miriam R.
Licencia:
Dominio público
Visualizaciones:
99
Fecha:
12 de enero de 2020 - 19:59
Visibilidad:
Público
Centro:
IES BENJAMIN RUA
Duración:
18′ 51″
Relación de aspecto:
1.78:1
Resolución:
1280x720 píxeles
Tamaño:
200.21 MBytes

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