1. #1
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    Default How to help at crash scene?

    We have a small rural dept and we don't do extrication. Us and a town near us have an area rescue squad that does all extrications. On crashes around us we are first on scene and is usually approx. a 10 min. wait til the rescue squad gets there. My question is this: What can Me and my crews do at the scene to help out. Secure scene is an obvious one but what can we do to the cars or pt.? Thanks
    Dave

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    Do patient assesment, take vitals, determine if the call will be stay and play or load and go. Get the vahicle stabalized. Pull trim and mark where any air bags are with a sharpie on the outside of the vehicle. Get a line charged and ready to go so the extrication team doesnt need to worry about it. cover patients and break glass, tape up the windows prior to breaking them if neccessary. Deflate the tires if the vehicle is on all four, assuming that will aid in the stabalization process. Cut seat belts, hold c-spine and monitor patients vitals. Clear a good spot for the rescue rig to park and get traffic control taken care of. That should free the extrication team up and allow them to roll in, cut the patients out, drop them mike and drive away.

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    All of the above and chock wheels, make sure the vehicle is in park, set the emergency brake, and remove the keys from the ignition. Unplug any and all electrical devices that are plugged into the vehicles cigarette lighter or power ports; cell phone, laptop, etc. Make sure to check around for additional power ports in center console, glove box, rear seating, etc. Pop Hood and double cut the battery cable. Advise rescue crew of all actions taken prior to their arrival.

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    Quote Originally Posted by StealthFF View Post
    hold c-spine and monitor patients vitals
    This is a priority. The ambulance crew will let you know if you need to "PooHaa" ( PUHA - package up haul azz).

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    All great advice. I will add one more though. ASK THE RESCUE SQUAD! Give them a call or stop by and ask them what kind of things they would like to see done prior to arrival. Advice on the internet is great but nothing beats getting it from the local horse's mouth.

    Also, learn about what you are doing before you do it. For example, breaking windows sounds like something simple and who doesn't like smashing glass, right? But smashing out a bunch of windows on a car that is resting on it's roof is not wise. So you need to train and learn about this stuff, not just go in there like gangbusters causing more problems then you solving.
    Even the burger-flippers at McDonald's probably have some McWackers.

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    Quote Originally Posted by nmfire View Post
    All great advice. I will add one more though. ASK THE RESCUE SQUAD! Give them a call or stop by and ask them what kind of things they would like to see done prior to arrival. Advice on the internet is great but nothing beats getting it from the local horse's mouth.

    Also, learn about what you are doing before you do it. For example, breaking windows sounds like something simple and who doesn't like smashing glass, right? But smashing out a bunch of windows on a car that is resting on it's roof is not wise. So you need to train and learn about this stuff, not just go in there like gangbusters causing more problems then you solving.
    Excellent points here and something I forgot to mention. We attend several drills each year that are run by or in conjunction with our Heavy Rescue. We have also and do drill extensively on scene, patient, and vehicle stabilization. So nmfire is absolutely correct, don't run in and do things you shouldn't be doing and haven't trained on.

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    We have the same situation here. nmfire put it exactly right. Talk to them and learn what would be best.
    "This thread is being closed as it is off-topic and not related to the fire industry." - Isn't that what the Off Duty forum was for?

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