2.The chest restraints are folded and held in place with hook-and-loop fasteners. Release them by loosening the fasteners. Notice that the straps are adjustable in length. The tang-ended straps will be on the patient’s right side, the receivers on the left. Pull the leg straps with the white buckles out from behind the patient and lay them out to the sides, out of the way. Fasten the middle and bottom chest restraints. Leave the top chest restraint unfastened for now. Lift the extrication device into position behind the patient, until the chest flaps are seated firmly under the patient’s armpits. Tighten the middle and bottom chest restraints. Pass the corresponding leg restraint under each of the patient’s legs. Pull the strap end up between the legs and fasten the tang to the receiver on the OPPOSITE side of the extrication device. Tighten both leg restraints.
3. Fill any gap between the patient’s neck and the extrication device using the provided neck pad or other padding. The neck pad can be folded to increase thickness. Wrap the head flaps around the patient’s head, and use one of the white head restraint straps to secure the flaps around the patient’s forehead. Use the other head restraint strap to secure the head flaps around the patient’s chin.
4. Fasten and tighten the upper chest restraint. Check it to make sure all restraints are properly tightened. Confirm that the extrication device is centered and in position along the length of the spine, and that the chest flaps are firmly under the armpits. Carefully turn, tilt or lift the patient to extricate to a backboard or other spinal transport device. Secure the patient and the extrication device to the backboard using restraint straps.

Applied for：
The Extrication Device is designed to be used to aid in the immobilization of a patient where a spinal injury is suspected. It is suitable for ambulance, hospital, battlefield gym, to carry the wounded & patients. It also can be used in general operation.