WPC )U6N % 0(w@4 m 0J. 0Tx 0^ 0h* 0r 0| 0 0 1u 0d  0(o 0(U*U>' AIo6 @9 A oI @L T >R v~ v<\  `(Roman 10cpiX($ DDUDDDc{%'A]EWL3|xU2 0Indent123  2" 0Indent20 23  2, 0Indent30 0 23  26 0Indent40 0 0 23  2@ 0Indent50 0 0 0 23  2J 0Indent60 0 0 0 0 23  2T 0Indent70 0 0 0 0 0 23  2^ 0Indent80 0 0 0 0 0 0 23    ?AGMSYaioIndent0I.A.1.a.(1)(a)i)a)P 8Mac DefaultMac Default ` X("$("$<  9p`(Roman<  9p`(&Times New Roman 1 2 3 4 5C << GWPC'HH=OS=OS  *  !5!.&(2 4,4?QQ  !  )  ` C!4$ ` \! `!C ` 'Q Page    www.mfri.orgWPC'HH44 844 8  *  !5!.&(2 4,4l66 6# !  '   ` !Q InstructorGuideQ NotesC$4$ ` \! `!C 4 !  '  PtPtHH(FG(HH(d'A 5Styl{WP}01  HH  2$HH  Geneva  <Px443!#4$*$$*$ KK  Geneva  Geneva .,6 Geneva   D2:De Geneva  D2:De Geneva ! .     X  X  ` XN X  ԛ    RescueRefresher:VehicleExtrication"XInstructorGuide    SessionReference: 1 Topic: VehicleExtrication LevelofInstruction: TimeRequired: SixHours Materials: 0 0 Atleastoneroadpassengervehicle,onecompletesetofrescueequipment,andoneinstructorforeacheighttotenstudentsonevehicleforinstructordemonstration References :0 0 RescueTechnician,Mosby,Sessions8140 0 Extrication,FirstEdition,IFSTA0 0 VehicleRescue,Brady0 0 EmergencyCare,EighthEdition,Brady================================================================= PREPARATION: Motivation: Objective(SPO): 110 Thestudentwilldemonstrateabasicunderstandingofpassengervehicleextricationandtheassociatedtoolsandtechniquesthroughparticipationinclassdiscussionandpracticalactivities. Overview:  VehicleExtrication0 0 Demonstrateknowledgeofsceneoperations0 0 Demonstrateknowledgeofvehiclestabilization0 0 Demonstrateknowledgeofhandandpowertooluse0 0 Demonstrateknowledgeofvehicleentryanddisentanglement Session1@ VEHICLEEXTRICATION ̢SPO110 Thestudentwilldemonstrateabasicunderstandingofpassengervehicleextricationandtheassociatedtoolsandtechniquesthroughparticipationinclassdiscussionandpracticalactivities.EO110 0 Provideabasicunderstandingofsceneoperationsatanincidentinvolvingtheextricationofentrappedvictimsfromroadpassengervehicles.EO120 0 Provideanunderstandingoftheimportanceofvehiclestabilizationandthemethodstostabilizeroadpassengervehicles.EO130 0 Provideanunderstandingofthehandandpowertoolsusedintheextricationofvictimsfromroadpassengervehiclesandtheoperationofthesetools.EO140 0 Provideanunderstandingofbasicroadpassengervehicleentryanddisentanglementtechniques.,Ha% ` X ,X I.0 SceneOperations(11)  A.0 SequenceofOperations  1.0 Preparation  2.0 Response  3.0 Assessment  4.0 Hazardcontrol  5.0 Supportoperations  6.0 Gainingaccess  7.0 Emergencycare  8. Disentanglement  9.0 Removalandtransfer  10.0 Termination 0 NOTE:Thissessionwilldealprimarilywithassessment,hazardcontrol,supportoperations,gainingaccess,disentanglement,andtermination.Emergencycareandremovalandtransferwillbeaddressedsolelyfromtheviewpointofcoordinationwithotheractivitiesandassistingemergencycareproviders.Moredetailedinformationonthesetopicsshouldbeincludedinseparatetrainingactivities.Preparationandresponsewillbeaddressedinanoverviewonly. B.0 Preparation0 0 1.0 Stressimportanceofadequatelytrainedpersonnel  2.0 Equipmentthatisavailableandreadyforuse C.0 Response0 0 1.0 Discussimportanceofgettingtothescenesafely  2.0 Rememberthatthisisnotyouremergencyandthatyouhavebeencalledtoassistsomeoneelse&   D.0 Assessment0 0 1.0 Scenehazardsdownedpowerlines,unstablestructuresandvehicles,hazardousmaterials'  0  2.0 Victimsoutsidevehicles0 0 3.0 Outerandinnercirclecheck0  4.0 Sizeupbeforebeginningactivity0 0 5.0 Stresspersonalsafetyandtheimportanceoffullpersonalprotectiveclothingforallpersonnel E.0 HazardControl0  1.0 Stabilizevehiclesequipmentandtechniques 0 2.0 Firepreventionandcontrolhoselinesandignitionsources0  3.0 Trafficcontrol F.0 SupportOperations 0 1.0 Lightingscene,extricationarea,andpatientassessment0  2.0 Helicopterlandingzones G.0 GainingAccess 0 1.0 Discusshandandpowertoolsandtechniquesforgainingaccess0 0 2.0 Normalmeansunlockedoropendoorsandwindows0 0 3.0 Alternatemeansfrontandrearwindows,lockeddoorsandwindows H.0 EmergencyCare 0 1.0 Patientassessment0  2.0 Coordinationwithextricationpersonnel0  3.0 Patientimmobilizationassistingwithtractionandplacementofvictimsonbackboards&   I.0 Disentanglement0  1.0 CoordinationwithEMSpersonnelconcerningrouteofremoval0  2.0 Discusshandandpowertoolsanddisentanglementtechniques'  0 0  a.0 Doorremoval0 0  b.0 Roofopeningandremoval0 0  c.0 Seatdisplacement0 0  d.0 Steeringwheelcutting0 0  e.0 Steeringcolumndisplacement0 0  f.0 Pedaldisplacement0 0  g.0 Dashrollup J.0 RemovalandTransfer0  1.0 Assistingwithvictimremoval K.0 Termination0  1.0 Scenecleanup II.0 PracticalActivities 0 Thisportionoftheclassconsistsofdemonstrationbytheinstructorfollowedbypracticebythestudentsunderthesupervisionofaninstructor. A.0 Stabilizevehiclesusingaboxcrib,stepchocks,mechanicalandhydraulicjacks,andairbags(12) B.0 Gainaccesstoaroadpassengervehicleusingaspringloadedcenterpunch,anaxe,andahaliganbar(13) C.0 Demonstratedisentanglementasfollows:(14)0 0 1.0 Doorremovalusinghydraulicspreadersatthelatchandinthewindow,hydrauliccuttersatthehingesandthedoorpost.Alsoconsiderusingwrenchesorsocketstoremoveadoor.0 0 2.0 Roofopeningandremovalusingahacksaw,anairchisel,hydrauliccutters,andelectricreciprocatingsaw0 0 3.0 Seatdisplacementusingtheseatadjustmentdeviceinthevehicleandhydrauliccutters0 0 4.0 Steeringwheelcuttingusingboltcutters0 0 5.0 Steeringcolumndisplacementusingthesteeringcolumntiltdevice(ifpresent).Studentsshouldbediscouragedfromdisplacingcolumnsbyanyothermeans.0 0 6.0 Pedaldisplacementusingchainorropeandhighliftjack0 0 7.0 Dashrollupusinghydraulicramsormechanicaljacks0 NOTE:Allstudentsareexpectedtoperformallthepracticalskillstothesatisfactionoftheevaluators.Assistanceshouldbeprovidedwhenrequired. III.0 Critique 0 Theinstructorsshouldconductareviewofthepracticalactivities,discussanyproblemsobserved,solicitstudentcomments,andsummarizetheactivities. ` XN X & SUMMARY: Review: 0 VehicleExtrication0 0 Demonstrateknowledgeofsceneoperations0 0 Demonstrateknowledgeofvehiclestabilization0 0 Demonstrateknowledgeofhandandpowertooluse0 0 Demonstrateknowledgeofvehicleentryanddisentanglement̢ Remotivation: Assignment: ================================================================= EVALUATION: Allstudentsareexpectedtoperformallthepracticalskillstothesatisfactionoftheevaluators.Assistanceshouldbeprovidedwhenrequired.̜