Vehicle Extrication

Vehicle Extrication Session Reference: 1 Topic: Vehicle Extrication Time Required: Six Hours Materials:    • At least one road passenger vehicle, one complete set of rescue equipment, and one instructor for      each...


Vehicle Extrication

Session Reference: 1

Topic: Vehicle Extrication

Time Required: Six Hours

Materials:

   • At least one road passenger vehicle, one complete set of rescue equipment, and one instructor for 

     each eight to ten students one vehicle for instructor demonstration

References:

   • Rescue Technician, Mosby, Sessions 8-14

   • Extrication, First Edition, IFSTA

   • Vehicle Rescue, Brady

   • Emergency Care, Eighth Edition, Brady

PREPARATION:

Motivation:

Objective (SPO): 1-1

The student will demonstrate a basic understanding of passenger vehicle extrication and the associated tools and techniques through participation in class discussion and practical activities.

Overview:

Vehicle Extrication

   • Demonstrate knowledge of scene operations

   • Demonstrate knowledge of vehicle stabilization

   • Demonstrate knowledge of hand and power tool use

   • Demonstrate knowledge of vehicle entry and disentanglement

 

Session 1 VEHICLE EXTRICATION

SPO 1-1 The student will demonstrate a basic understanding of passenger vehicle extrication and the associated tools and techniques through participation in class discussion and practical activities.

EO 1-1 Provide a basic understanding of scene operations at an incident involving the extrication of entrapped victims from road passenger vehicles.

EO 1-2 Provide an understanding of the importance of vehicle stabilization and the methods to stabilize road passenger vehicles.

EO 1-3 Provide an understanding of the hand and power tools used in the extrication of victims from road passenger vehicles and the operation of these tools.

EO 1-4 Provide an understanding of basic road passenger vehicle entry and disentanglement techniques.

 

I. Scene Operations (1-1)

A. Sequence of Operations

  1. Preparation

  2. Response

  3. Assessment

  4. Hazard control

  5. Support operations

  6. Gaining access

  7. Emergency care

  8. Disentanglement

  9. Removal and transfer

  10. Termination

NOTE: This session will deal primarily with assessment, hazard control, support operations, gaining access, disentanglement, and termination. Emergency care and removal and transfer will be addressed solely from the viewpoint of coordination with other activities and assisting emergency care providers. More detailed information on these topics should be included in separate training activities. Preparation and response will be addressed in an overview only.

B. Preparation

  1. Stress importance of adequately trained personnel

  2. Equipment that is available and ready for use

C. Response

  1. Discuss importance of getting to the scene safely

  2. Remember that this is not your emergency and that you have been called to assist someone else

D. Assessment

  1. Scene hazards - downed power lines, unstable structures and vehicles, hazardous materials

  2. Victims outside vehicles

  3. Outer and inner circle check

  4. Size up before beginning activity

  5. Stress personal safety and the importance of full personal protective clothing for all personnel

E. Hazard Control

  1. Stabilize vehicles - equipment and techniques

  2. Fire prevention and control - hoselines and ignition sources

  3. Traffic control

F. Support Operations

  1. Lighting - scene, extrication area, and patient assessment

  2. Helicopter landing zones

G. Gaining Access

  1. Discuss hand and power tools and techniques for gaining access

  2. Normal means - unlocked or open doors and windows

  3. Alternate means - front and rear windows, locked doors and windows

H. Emergency Care

  1. Patient assessment

  2. Coordination with extrication personnel

  3. Patient immobilization - assisting with traction and placement of victims on backboards

I. Disentanglement

  1. Coordination with EMS personnel concerning route of removal

  2. Discuss hand and power tools and disentanglement techniques

      a. Door removal

      b. Roof opening and removal

      c. Seat displacement

      d. Steering wheel cutting

      e. Steering column displacement

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