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N.A.R. Extrication Vest USER MANUAL
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1. It is the responsibility of qualified Emergency Medical service personnel to assess the patient s condition and determine the proper equipment and procedures to use e Follow your medical director s protocols when using the N A R Extrication Vest In situations where there are only two or three trained operators available one operator manually stabilizes the head and neck while the other s applies the N A R Extri cation Vest e Follow the standard emergency patient handling proce dures when using the N A R Extrication Vest e Maintain manual stabilization of the patient s head and neck until the patient is properly secured on a long spine board e After applying the N A R Extrication Vest and transfer ring the patient to the spine board secure the patient to the spine board with restraints WARNING An unattended patient can be injured Stay with the patient at all times e Stay with the patient at all times E 3 NORTH AMERICAN RESCUE i yy 3 2 Applying the cervical colar Apply the cervical colar according to local pro tocols and the manu facturer s instructions Maintain manual stabi lization of the patient s head and neck until the patient is properly se cured on a spineboard Figure 11 Applying the Cervical Collar In figure 11 one operator holds the patient s head and neck in neutral alignment while the other operator applies the cervical collar 3 3 Removin
2. ration depending on the patient s condition The leg straps are most commonly used criss cross style Fig 3 For this configuration pass the straps under the patient s legs and buckle the left strap at the right side of the N A R Extrication I Vest and the right strap at the left side of the N A R Extrication Vest Figure 3 Leg strap applied in Criss Cross Configuration If groin injury is Suspected you can use the straps in the same side configuration to reduce pressure on the groin area Pass the straps under the legs and buckle the left strap at the left side of the N A R Extri cation Vest and the right strap at the right side of the N A R Extrication Vest Whether using the criss cross or same side con figuration you must position the straps as close as possible to the body s midline When buckled straps are correctly positioned they run straight down from their anchoring points on the back of the N A R Extrication Vest Fig 4 before passing beneath the buttocks Leg Strap Anchoring Points Figure 4 Back view of leg straps when correctly positioned close to the body s midline 2 3 Head Pad Folding Pad The foam filled folding pad can be used to fill the gap that may exist between the N A R Extrication Vest and any of these areas head cervical collar or neck if no cervical collar is used shoulders The patient s medical condition body structure and head shape
3. two of the three chest straps allows defibrilation without losing immobility Fig 25 Figure 25 Adapting the N A R Ext rication Vest for use with a monitoring system NORTH AMERICAN RESCUE 5 ee LJ N A R Extrication Vest 4 6 Adapting the N A R Extrication Vest for use as a splint The N A R Extrication Vest can be used as a splint for pelvic stabilization and hip and or femur stabilization Two pos sible methods of adaptation are shown here HIP AND OR FEMUR STABILIZATION The N A R Extrication Vest and patient are placed on a long spine board with the head portion of the N A R Extrication Vest toward the foot end of the board Figure 26 Stabilizing the Hip and or Femur The torso portion of the N A R Extrication Vest is positioned a little above the waist and centered The torso flaps are secured around the patient s pelvic area and the head flaps are wrapped around both the patient s leg and secured with the N A R Extrication Vest head straps Fig 27 PELVIC STABILIZATION The N A R Extrication Vest and patient are placed on a long spine board with the head portion of the N A R Extrication Vest toward the foot end of the board The torso portion of the N A R Extrication Vest is positioned a little above the waist and centered the torso flaps are secured around the patient s pelvic area and the head flaps are wrapped around both the patient s leg
4. 45 degree angle provides a rigid leading edge to slip between the patient and the seat This prevents the N A R Extrication Vest from rolling up and allows the N A R Extrication Vest to clear the vehicle roofing 4 The operator and assisting operator s work the N A R Extrication Vest down between the patient and the seat and then into the vertical position Fig 14 Work the N A R Extrication Vest far enough down to clear the vehicle roofline and be positioned behind the patient s head when the N A R Extrication Vest Is tipped to the vertical Note The third operator may move the patient forward just enough to reduce friction so the N A R Extrication Vest slides smoothly between the patient and seat To avoid jostling the patient s head coordinate this effort with the operator stabilizing the head 5 Use the lift handles to center the N A R Extrication Vest behind the patient 6 lf you are going to use the leg white buckle straps remove them from the fastening strips at the top of the N A R Extrication Vest Fig 15 Slide them clear of the N A R Extrication Vest and lay them within reach Fig 16 Figure 15 Figure 16 Releasing a leg strap N A R Extrication Vest 3 9 Wrapping and positioning the N A R Extrication Vest 1 Wrap both torso flaps around the patient s torso lifting the patient s arms only as much as needed to slide the flaps beneath them 2 Use the lift handles to raise and adjust
5. A R Extrication Vest on a clean surface and rinse off with warm water Lightly scrub the N A R Extrication Vest and Folding Pad with a mild soap solution and medium bristle brush Wash the head straps with soap solution and a clean sponge Rinse all pieces with warm water To disinfect apply a solution of 2 to 5 chlorine bleach and water Rinse all pieces with warm water Allow all pieces to dry completely before returning them to the carrying case mD DJ Aw 7 2 Inspecting the N A R Extrication Vest Are all the components present I Is all stitching secure J Are vertical battens inside N A R Extrication Vest solid and unbroken J Are torso leg straps and lifting handles in good condition Are buckles free from visible damage and do they operate properly Are head straps free of excessive wear and is their stitching secure I Is folding pad in good condition IJ Are Deceleration and take down straps in good condition IMPORTANT storing a damp or wet N A R Extrication Vest in its carry ing case will encourage the growth of mold Do not return the N A R Extrication Vest to its carry case until it is thoroughly dry WARNING Untrained operators can cause injury or be injured Improper use of the N A R Extrication Vest can Permit only trained personnel to apply cause injury Use the N A R Extrication Vest only the N A R Extrication Vest for the purposes described in this manual
6. Improper maintenance can cause injury Do not attach equipment or items of any kind to the Maintain the N A R Extrication Vest N A R Extrication Vest as it may cause injury to only as described in this manual the patient An unrestricted patient can fall off the spineboard An unattended patient can be injured Stay with the or cot and be injured Use restraints to secure patient at all times the patient on the spineboard or cot E S NORTH AMERICAN RESCUE z eooo OUOU ee E L Explanation of Symbols Symbol Explanation European Authorized REP Representative a Catalogue Number Caution Consult Accompanying Documents EMERGO Europe Emergency Products amp Research e AE 890 West Main Street 2513 BH The Hague Kent Oh 44240 2218 EC The Netherlands Tel 31 0 70 345 8570 1 330 673 5003 Fax 31 0 70 346 7299 A a CAUTION CONSULT a ACCOMPANYING DOCUMENTS For additional User Manuals Please contact N A R at either of the numbers listed below contact your N A R Distributer or download at www NARescue com NORTH AMERICAN RESCUE a a a ae www NARescue com 888 689 6277 35 Tedwall Court Greer SC 29650 4791 Phone 864 675 9800 Fax 864 675 9880
7. ad end of the spine board as close as possible to the far side of the seat so that the patient will become properly positioned on the board when you lift the knees 3 Lift the spine board and the patient out of the vehicle and place them on the ambulance cot Fig 20 4 Immediately loosen the top red torso strap to allow the patient more chest expansion Note Keeping the remaining straps tightened provides sta bility for the patient during the starts stops and corners of Figure 20 placing patient and long the ambulance ride to the hospital 00 agree E 5 NORTH AMERICAN RESCUE A ee LJ N A R Extrication Vest 4 Special Situations 4 1 General protocols When necessary the N A R Extrication Vest can be adapted for use in special situations and circumstances some possible adaptations are presented in this section Follow your medical director s protocol for adapting the N A R Extrication Vest 4 2 Adapting the N A R Extrication Vest for a pregnant patient When applying the N A R Extrication Vest to a pregnant patient fold two slats inward on each torso strap to leave the abdomen exposed strap configuration will depend on the patient s abdomen and breast size Generally straps can be positioned to lay beneath the breasts but above the abdomen Two possible configurations are described in this subsection USING TWO STRAPS Fasten the bottom green buckle strap in the middl
8. determine the need for padding Most patients when properly positioned in the N A R Extrica tion Vest will not need padding but when you do use it follow your medical advisor s protocols If you need to apply the folding pad 1 Determine whether to use the pad single thickness or folded 2 Slide the pad between the N A R Extrication Vest and the patient Fig 5 Depending on the patient s injuries body structure and head shape the pad may be positioned behind the head only behind the head and neck area or behind head neck area and the tops of shoulders Always take care to pad without hyperextending or flex ing the patient s neck 3 Secure the patients head with the head straps See Head Straps Page 7 N A R Extrication Vest 2 4 Lifting Handles The N A R Extrication Vest is constructed with three lift ing handles Fig 6 Use the handles when adjusting the N A R Extrication Vest s vertical position on the patient during extrication The top lift handle serves as an extension of the leg straps and offers a firm hold for vertical lift or horizontal pull to get the patient in position to extricate During extrication the han dles provide a firm hold on the patient and the N A R Extrication Vest as a single unit minimizing chances of losing control or dropping the patient during extrication 2 5 Head Straps Two Identical head straps are provided to secure the N A R Extricati
9. e yel low buckle and the middle yellow buckle strap in the bot tom green buckle strap Fig 21 USING ALL THREE STRAPS Fasten the middle yellow buckle strap in its own buckle Fasten the bottom green buckle strap in the top red buckle strap in the bottom green buckle strap Fig 22 Figure 22 Three Strap Configuration E 3 NORTH AMERICAN RESCUE i yy N A R Extrication Vest 4 3 Adapting the N A R Extrication Vest for a pediatric patient The patient s size and condition determine how the N A R Extrication Vest can be adapted for a child In this example of one possible method the child s legs are longer than the N A R Extrication Vest so the N A R Extrication Vest and child are placed on a long spineboard A folded blanket is placed on the child so the torso flaps can be wrapped around and fastened normally Fig 23 4 4 Adapting the N A R Extrication Vest for angulated neck When it is not desirable to straighten the patient s neck fold the head flaps inward Position a rolled towel as needed then place a head strap across the patient s fore head and secure the strap to the N A R Extrication Vest fastening strips Fig 24 Figure 24 Applying the N A R Extrication Vest to an angulated neck 4 5 Adapting the N A R Extrication Vest for use with monitoring systems Folding two slats of each torso flap inward provides more chest exposure when needed Loosening
10. g the N A R Extrication Vest from the carry case The N A R Extrication Vest carry case is designed for quick removal of the N A R Extrication Vest as follows 1 Stand the carry case containing the N A R Extrication Vest on end with the open end of the case facing upward Where the case meets the ground there will be a left and right dog ear Fig 12 2 Place your foot on one of the dog ears to hold the case In place while you pull the N A R Extrication Vest out of the case Fig 12 3 Unroll the N A R Extrication Vest and lay the folding pad and head straps aside Figure 12 Removing the N A R Extrication Vest from its carry case N A R Extrication Vest 3 4 Placing the N A R Extrication Vest behind the patient The instructions below allow operators to use the N A R Extrication Vest design features to their best advantage 1 Be aware of articles wallet belt etc that could interfere with sliding the N A R Extrication Vest between the patient and the vehicle seat 2 With the buckles toward the seat grasp the Extrication Vest at the top of the head flap and the top corner of the torso flap closest to the patient 3 Tilt the N A R Extrication Vest at about a 45 degree angle and slide it behind the patient Fig 13 Note Use the N A R Extrication Vest vertical rigidity as an aid when sliding the N A R Extrication Vest behind the patient Tilting the N A R Extrication Vest at a
11. he patient s head 3 There are three center slats providing stronger vertical stability while not adding any more total weight to the device 4 At the top of the two chest flaps the first two slats on each side turn back independently to accommodate electrode pads and to help secure larger busted patients 5 The longer strap with the male buckle comes from the left side of the chest piece If the device was stored correctly the straps will not tangle behind the patient during placement 6 The buckles are color coded so it will be easier to see which buckle the rescuer has in his her hand 7 The body of the device is wider at the bottom to provide coverage of wider torsos and distribute the p s i force of the lower chest strap 8 The two long leg straps w male white buckles are sewn closer together so as to be in a more anatomically correct position to pass midline from back to front The rescuer no longer needs to decide either to place straps criss cross or same side 9 The two white female buckles for the leg straps are better positioned for easier location and anatomically correct usage 10 The sewn in static webbing is coated to prevent absorption of fluids making cleaning of the device easier 11 The side flap slats stiffeners are made of HDPE so that they provide increased strength to place the Extrication Vest behind the patient yet enough flex to conform and contour to the patient s body shape providing be
12. ld on the long board Fig 31 8 Snap the male and female buckles together Fig 31 9 Tighten the straps until the N A R Extrication Vest is carrying the weight of the patient Fig 32 10 One rescuer stands on each side of the long board Fig 33 11 Place one hand through the hand hold at the patient s arm pit area 12 Place one hand beneath the patient s buttocks area Fig 33 13 In one controlled motion each rescuer takes one step in the head direction as the board is lowered and leveled Note Be mindful of your back as the board tilts because the patient s full weight will be in your hands Fig 34 14 Place the patient on the ground for additional strapping or place them directly on your cot for securing Figure 32 Figure 34 NORTH AMERICAN RESCUE 5 A ee LJ 1N A R Extrication Vest 5 2 Deceleration Strap This is the yellow strap that has a piece of hook and loop sewn to it in the middle Fig 35 This strap is used when the N A R Extrication Vest is in place with the patient fully immobilized The strap is attached to the back of the N A R Extrication Vest utilizing the hook and loop on the strap and the corresponding hook and loop on the back of the Extrication Vest Fig 36 The strap is then draped over the shoulders of the patient and fastened into the correspond ing color coded buckles on the front turned upward toward the head of the N A R Extricati
13. nder flush against the webbing Fig 43 Figure 44 Making the first fold 3 Make the first fold beneath the buckle Fig 44 and continue folding the strap accordian fashion Fig 45 Figure 45 Folding accordian style 4 When all the webbing is folded secure it in the hook and loop fastener Fig 46 E Figure 46 Securing the Strap L e E S NORTH AMERICAN RESCUE ee Make sure to position the folded strap so the fastening strips wrap around it at the location of the buckle release tabs This will enable you to pull the strap free without tangles and have the buckle in your hand in a single motion LEG STRAPS storing the leg straps as described here will keep them out of the way while sliding the N A R Extrication Vest be tween the patient and vehicle seat yet readily available when you want to use them Leave the leg straps in their stored position in situations where you choose not to use them Fig 47 Figure 47 Wrapping the Leg Straps store both leg straps as follows 1 Lengthen the leg straps until about six inches of webbing have not passed backward through the buckle slide Fig 49 2 Beginning at the point where the strap is attached to the N A R Extrication Vest fold the strap down around the bottom edge of the N A R Extrication Vest then up and around the inside of the Extrication Vest Fig 48 3 Turn the buckle under to rest flush against
14. ng strips on the head flaps Make sure the strap placement does not prevent the patient from opening his her mouth 2 6 Buckling the top strap and making final strap adjustments When the long spine board and ambulance cot are per pared and waiting it is time to buckle the top strap and make the final adjustments to the other straps The purpose of the adjustments Is to make sure the N A R Extrication Vest is firmly in place from the lower spine to the head and po sitioned high up under the armpits to prevent movement during extrication Finish applying the N A R Extrication Vest as follows 1 Remove the top red buck 9 le strap from its holder and Uy om buckle it Tighten the strap to Figure 10 The 8 the chest using the feed and Extrication Vest Applied pull technique 2 Check and tighten the middle yellow buckle strap 3 Check and tighten the bottom green buckle strap 4 Check and tighten the leg white buckle straps the proper applied N A R Extrication Vest will look as il lustrated in Figure 10 E NORTH AMERICAN RESCUE ee LJ N A R Extrication Vest 3 USING THE N A R Extrication Vest 3 1 General protocols for use This manual illustrates use of the N A R Extrication Vest in an ideal setting Other and sometimes unusual set tings and circumstances will occur in the field and the N A R Extrication Vest can be adapted to many of them
15. on Vest Once fastened the straps should be tightened to pull the shoulders of the patient into the device and straightening the upper torso Shoulder Deceleration Strap 1 Place the shoulder strap around the back of the N A R Extrication Vest even with the top of the shoulders Fig 36 2 Bring the strap forward and over the shoulders Fig 37 Note Do not cross the straps on the front of the patient they cross too high and tend to choke the patient Fig 38 3 Insert the female buckle into the corresponding male buckle Fig 39 4 Tighten the straps to a snug fit do not overtighten Fig 40 Front and rear view of N A R Extrication Vest after applica tion of the deceleration strap Fig 41 and 42 Figure 39 Note Image subject is lightened slightly to enhance visibility of straps Figure 41 E 3 NORTH AMERICAN RESCUE N fig Figure 42 N A R Extrication Vest 6 STORING THE N A R EXTRICATION VEST 6 1 Storing the N A R Extrication Vest If you properly prepare the N A R Extrication Vest before placing it in its carry case you will be able to unpack and use it quickly TORSO STRAPS Fold each torso strap accordian fashion and secure it in its hook an loop fastener as follows 1 Lengthen the strap until only three or four fingerwidths of webbing have not passed backward through the buckle slide Figure 43 Turning the buckle under 2 Turn the buckle u
16. on Vest head flaps in place They can also be used to secure the N A R Extrication Vest when using it as a splint APPLYING THE UPPER STRAP Grasp the strap with both hands Fig 7 and turn the center pad fully inside out exposing the inside Fig 8 Figure 6 N A R Extrication Vest Lifting Handles Figure 7 Exposing the Center Pad Rubber Center the pad at the patient s eyebrows Position the strap ends at a down ward angle and secure them to the fastening strips on the N A R Extrication Vest head flaps Fig 9 APPLYING THE LOWER STRAP Two methods for applying the lower strap are provided In the next column There are alternate methods Use and secure the strap according to your medical director s protocol Figure 8 Exposing th Center Pad Rubber Figure 9 Head Straps in place One method for applying the lower strap when using a rigid cervial collar is shown in Figure 10 1 Place the strap against a rigid area beneath the Chin of the cervical collar 2 Position the strap ends horizontally or just above the horizontal and secure them to the fastening strips on the head flaps A method for applying the lower strap to the patient s chin area with or without a cervical collar would be 1 Grasp the strap with both hands and turn the center pad fully inside out 2 Place the strap over the patient s chin 3 Position the strap ends horizontally and secure them to the fasteni
17. onfiguration Center Lifting Handle Head Flap 2 Hook and Loop Fastening Strips 10 il Deceleration Strap Receptacle 2 Blue Side Lifting Handles 2 Torso Flap 2 Top Torso Strap Receptacle Top Torso Strap Red Red Buckle 7 Middle Torso Strap Receptacle Middle Torso Strap Yellow Yellow Buckle Bottom Torso Strap Bottom Torso Strap Green Buckle Green Leg Strap Buckle 2 Leg Strap 2 Folding Pad Head Strap 2 Take Down Straps 2 Orange SS u Deceleration Strap Yellow Carry Case E 3 NORTH AMERICAN RESCUE 1 yy N A R Extrication Vest 2 About the N A R Extrication Vest Features 2 1 Torso Straps The N A R Extrication Vest is constructed with three torso straps top middle and bottom The straps are color coded for easy matching of left and right pieces Fig 1 When wrapping the N A R Extrication Vest torso flaps around the patient fasten the middle Yellow strap first then the bottom green strap Do not fasten the top red strap until just before you are ready to transfer the patient to a long spine board THE MIDDLE STRAP The middle yellow buckle strap is the first strap to be fastened Fig 2 When fastening the strap initially snug it until there is space for 2 or 3 fingers laid flat between the strap and the patient s torso You will tighten the st
18. rap just before trans ferring the patient to a spine board The middle strap evenly secures the greatest possible area of the N A R Extrication Vest providing the greatest patient stability while you finish applying the N A R Extrication Vest If the rescue situation or the patient s condition requires that you remove the patient from the vehicle sooner than anticipated the stability provided by the N A R Extrication Vest with only the middle strap fastened and properly tight ened may be preferable to using no supporting equipment Follow your medical advisors protocols THE BOTTOM STRAP The bottom green buckle strap is the second strap fas tened Fig 2 When fastening the strap initially snug it until there is space for 2 or 3 fingers laid flat between the strap and the patient s torso You will tighten the strap just before trans ferring the patient to a spine board THE TOP STRAP Do not fasten the top red buckle strap at this time Leave the top strap unfastened until you are ready to transfer the patient to the long spineboard This allows the patient to breathe more freely while you finish applying the Extrication Vest N A R Extrication Vest 2 2 Leg Straps The leg straps secure the pelvis to the lower portion of the N A R Extrication Vest to stabilize the lower lumbar area The N A R Extrication Vest leg straps can be fastened in a criss cross configuration or a same side configu
19. raps if necessary Properly applied board leg straps will loosen when the patient is placed supine on the spine board The technique described below for transferring the patient to the long spine board involves turning patient with his 6 secure the patient on the spine board with the her back toward the midline of the vehicle In many situa spine board restraints tions this may be the most effective technique for prevent ing lower spine torque 7 Secure the spine board on the cot with the cot restraints Alternative techniques have been developed and are in use Follow your medical director s protocols when choosing a technique BE AWARE Be sure to maintain the patient s body angle and a straight midline as you turn the patient to position his her back toward the inside of the vehicle TRANSFERRING THE PATIENT TO THE LONG SPINE BOARD 1 Two operators grasp the side handles of the N A R Extrication Vest and turn tilt lift the patient until his her back is toward the inside of the vehicle Fig 18 Figure 18 patient pivoted with Figure 19 Lifting the patient to back toward inside of vehicle position the long spine board 2 Grasping the side handles of the N A R Extrication Vest and holding the patient under the knees lift the knees enough to allow third operator to slide the long spine board between the patient and the seat Fig 19 Then lower the patient onto the spine board Note Slide the he
20. s and secured with the N A R Extrication Vest head straps Fig 2 7 4 7 Using the N A R Extrication Vest with an Anti Shock Garment The N A R Extrication Vest will not interfere with or limit the use of a pneumatic anti shock garment Fig 28 Figure 28 Using the N A R Extrication Vest with an Anti Shock Garment E 3 NORTH AMERICAN RESCUE N N A R Extrication Vest 5 Take down and Deceleration Straps 5 1 Take Down Straps a The orange take down straps are to be used when you en counter a patient that has already extricated themselves from the crashed vehicle or from the accident scene and is standing upright complaining of cervical pain or tender ness STANDING PATIENT BACKBOARDING 1 Maintain control of the patient while placing a cervical collar 2 One rescuer approaches the patient from behind with the N A R Extrication Vest and wraps it l 7 around the patient j Figure 30 3 The rescuer in front pulls the flaps under the patient s arms and around the front Fig 29 4 The middle yellow buckle strap is fastened and tightened The other straps may be used if the patient warrants additional securing Fig 31 5 Place a long spine board against the N A R Extrication Vest and patient 6 Place one strap orange with black buckles through each of the two side handles on the N A R Extrication Vest Fig 31 7 Pass each of the straps through a high hand ho
21. the Extrication Vest until the top edges of the torso flaps press firmly into the armpit area You can also use the lift handles to keep the N A R Extrication Vest in place until the straps can be buckled Fig 1 7 If using three operators the two side operators lift the N A R Extrication Vest with the side straps IMPORTANT It is Important to pull the N A R Extrication Vest up snugly under the armpits to make sure the Figure 17 Wrapping the Torso Flaps around the patient patient s weight suspended This will reduce the possibility of the patient slipping downward later when he she is lifted or maneuvered BE AWARE Positioning the patient as fully as possible against the N A R Extrication Vest minimizes 3 Before beginning to fasten the straps make the need for padding between the patient s sure the parient is sitting back against the N A R head and the N A R Extrication Vest But be Extrication Vest as full as his her body structure aware that some patients may not be able to and condtion allow sit fully back into the N A R Extrication Vest To check and adjust the patient s position the operator behind the patient holds the patient s head in alignment while a side operator gently presses on the patient s chest area below the cervical collar Page 10 E 3 NORTH AMERICAN RESCUE N A R Extrication Vest 3 6 Transferring the patient to the long spine 5 Tighten leg st
22. the webbing and secure the strap in place by pressing Its hook and loop fastening strip against a fastening strip on the outside of the N A R Extrication Vest Fig 48 Figure 48 Securing the folded strap in the fastener N A R Extrication Vest FOLDING PAD Lay the N A R Extrication Vest flat with the buckles facing upward Place the folding pad on the center of the N A R Extrication Vest with one end of the pad at the bottom edge of the N A R Extrica tion Vest Fig 49 HEAD STRAPS Press one end of each strap against the hook and loop fastening strips on the head area of the N A R Extrication Vest and lay the straps parallel with the Folding Pad Figure 51 Rolling the N A R Extrication Vest Figure 49 Positioning the Folding Pad and Head Straps TORSO FLAPS 1 Fold the torso flap over the Folding pad tucking the edge of the flap over the edge of the pad Fig 50 2 Roll the folded portion of the N A R Extrication Vest over the remaining torso flap Fig 51 until the center portion of the inside of the N A R Extrication Vest is upward Fig 02 3 Grasp the N A R Extrication Vest to keep it rolled and slide it into the carrying case Figure 52 Ready for the Carry Case E 3 NORTH AMERICAN RESCUE N N A R Extrication Vest 7 MAINTAINING the N A R EXTRICATION VEST 7 1 Cleaning and disinfecting the N A R Extrication Vest Lay all pieces of the N
23. tter contact and patient comfort 12 Two additional straps orange are provided to be used in a standing takedown maneuver 13 Deceleration Receptacles blue and a shoulder strap yellow are incorporated to better secure the patient s shoulders back Sometimes referred to as a deceleration strap 13A It may be placed over each shoulder and buckled 14 The carry bag is vented to help keep the device drier while stored 15 The extra straps and the chin forehead strap set are stored in a conveniently located and vented pouch on the side of the carry bag E 3 NORTH AMERICAN RESCUE 7 2 1 N A R Extrication Vest N A R Extrication Vest Product No Replacement Accessories 90 0022 Black Replacement Accessories Head and Chin Straps Deceleration amp Take down straps Folding Pad Carry Case N A R Extrication Vest E S NORTH AMERICAN RESCUE 1 E L e N A R Extrication Vest 1 ABOUT THE N A R EXTRICATION VEST 1 1 General Length ength Width Thickness Weight Load Limit 81 28 cm 86 36 cm 2 54 cm 8 Ib 14 4 oz sooi 33 5 in 9 5 in 6 in 4 04 kg 227 kg Rolled l 85 09 cm 24 13 cm 15 24 cm Weight includes restraints pad head straps carry case take down straps and deceleration straps 1 2 Components outside view with straps in storage c
24. xtrication Vest a ee n a a a a f f N oh TN ee ee a kh AT ATE OD GTS RG ee Me Nee es ra h 1 i a E _ a aay NN i j OSS TST TIA ADINA BEECH wt DDD DDD K I AA IIS ISASI DID Eer BES ESA ES Roe Bes By E F ee CO REN 2 5 Fo o a Gra EE Lo E 5 F ae r SE J a e i NORTH AMERICAN RESCUE 4 4 4 4 4 d 4 4 4 4 4 4 SSO wwwNARescue com888 689 6277 2 i A pe ee Ur ee ee a a ee ee ee a ee ee i ma N A R Extrication Vest 1 Head piece is one slat wider to provide better securing of a patient s head that may be a little more forward than normal There is no hook tape on the first slat so it will be more comfortable on the side of the patient s face if it is turned in Adhesive tape will stick to the slat easier and more securely 2 The top of the head piece dips down notch in the center providing better access to the back of t
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