2019 EMT Refresher Instructor Manual

C.2.B – Pediatric Transport Basic guidance on pediatric restraint:

FMVSS 213 ATD - Engineering standards for car seats and pediatric restraint in all vehicles - Discusses crash-testing requirements - Does not rely on seat belts but rather anchor points on seat - Standard J3027 is a recommended practice that describes testing procedures for evaluating the integrity of ground ambulance patient litters, litter-retention systems and patient restraints in frontal and side-impact collisions. - Standard J3026 specifies testing procedures to evaluate the integrity of ground ambulance occupant seating and restraint systems for workers and civilians transported in the patient compartment during frontal and side collisions. Methods, training (initial and continual), and equipment to secure children during transport in a way that reduces both forward motion and possible ejection. The primary focus should be to secure the torso, and provide support for the head, neck, and spine of the child, as indicated by the patient’s condition - Prohibits children from being transported unrestrained, e.g. held in arms or lap; - Only use child restraint devices in the position for which they are designed and tested National Association of EMS State Officials recommends: -

Forno Pedimate Resources: Video (4 minutes): https://www.youtube.com/watch?v=ZCAomvvGBm0

Top black straps secure around cot

Stretcher at 45 degree angle

Pull gray plastic over patient’s sternum. Should be roughly mid- sternum.

Bottom black straps secure around frame of stretcher (not the arm rests)

Pull gray straps to take up slack – should be snug around patient’s pelvis