461 Flashcards
PURPOSE
To provide for the ______ removal of persons who are trapped with successful methods can range from the very basic to highly technical stabilization, extrication, and lifting techniques.
ACTION CIRCLE
The Action Circle is the _____ area around the involved vehicles where PPE is required and which will remain clear of ___-____ personnel. The Action Circle shall be ____ on all extrication scenes.
_____ will maintain the ____ of the Action Circle.
Personnel (including those involved in patient ___) operating within the Action Circle shall be in full PPE.
Full PPE shall include SCBA and ___-___ when the possibility of respiratory harm exists.
SYSTEMATIC IMMEDIATE NON-ESSENTIAL ESTABLISHED COMMAND INTEGRITY CARE FACE-PIECE
COMMAND
Command shall be established and initial report transmitted per SOG ____. The ___ __ ___ shall perform a ___ survey to assure scene ___, determine the ___ of patients, and ____ an extrication assignment is en-route. After determining that the scene is safe, determine the level of ___ and if rapid extrication exists based on a patient _____. If rapid extrication exists deviation from ___ protocol is authorized.
403 OFFICER IN CHARGE 360 SAFETY NUMBER CONFIRM ENTRAPMENT ASSESSMENT STANDARD
FIRST ARRIVING COMBAT UNIT ON SCENE
Officer in Charge
The Officer in Charge shall establish a ____ to remove the entrapped patient. Some considerations to create an appropriate tactical plan include:
• ___ of collision
• ___ of patient(s)
• What is the ____ entrapment (door won’t open, car wrapped around a pole, car is on its side)
• What is the ____ entrapment (Brake ___, dash, center ___, steering ___, etc.)
PLAN TYPE LOCATION PRIMARY SECONDARY PEDAL CONSOLE WHEEL
- Assign personnel to establish patient care. Patient care is a ____ and must be ____ at all times.
- Assign personnel to begin _____ of the vehicle. Refer to the Vehicle Extrication Manual for detailed instructions.
- Inform personnel in the action circle of the ____ plan to ____ the patient(s).
- ____ secondary entrapments and the need for simultaneous extrication to remove patient(s)
PRIORITY MAINTAINED STABILIZATION TACTICAL EXTRACT CONSIDER
Engineer
The Engineer shall ensure the JFRD apparatus is in ___ position for scene ____, the engine is in pump, and a ___ protective ___ line is established. The Engineer will ___ to the ___ in Charge once they ___ out in ____ personnel protective equipment.
Patient Care
Once the Officer in Charge has determined that the scene is safe, the ____ personnel will be responsible for bringing the ____ patient equipment based on patient ___.
If possible, make ___ into the vehicle to perform a ____ assessment, maintain C-spine immobilization per EMS SOG 430, and look for any _____ entrapments.
____ the Officer in Charge of any secondary entrapments, with possible solutions.
PROPER SAFETY 1-3/4 CHARGED REPORT OFFICER DRESS APPROPRIATE
ASSIGNED APPROPRIATE NEEDS ENTRY GENERAL NOTIFY SECONDARY
ADDITIONAL UNITS
Second Arriving Engine
The second arriving engine shall ___ in an area that will ___ room for the ladder or squad and doesn’t ___ ingress or egress to the ___ circle.
The Engineer will ___ the first arriving engine with charged ____ hose line ____. The remaining crew shall report to ____ for their assignment.
STAGE LEAVE IMPEDE ACTION ASSIST PROTECTIVE MANAGEMENT COMMAND
First Arriving Ladder/Squad
The apparatus shall be located ___ the action circle for ___ access to extrication equipment.
The crew shall report to ____ to gather information on the ____ plan to extricate the patient(s).
Additional Ladder/Squad
Additional ladder and squad apparatus shall be located in a position that doesn’t impede ingress or egress but shall be in ___ proximity to the action circle for tool ____ if necessary.
Crews shall report to ____ for their assignment in ____ personnel protective equipment.
NEAR EASY COMMAND TACTICAL CLOSE DEPLOYMENT COMMAND APPROPRIATE
First Arriving Rescue Unit
The first arriving rescue shall be located in a position that doesn’t impede ingress or egress to the action circle. The rescue unit will _____ with ____ as part of the extrication and patient care process.
The Engineer shall be in the _____ personnel protective equipment and establish or take over patient care. The ___ will direct patient care and gather any information needed for ___.
Second Arriving Rescue Unit
The second arriving rescue shall be located in a position that will allow ____ transport of the patient from the action circle.
The rescue shall be the ____ transport unit for the patient(s) per EMS SOG 430
COORDINATE COMMAND APPROPRIATE OFFICER REPORTING
RAPID
PRIMARY
First Arriving Suppression Chief
The first arriving Suppression Chief shall be located in a position that doesn’t ____ ingress or egress to the action circle.
The Chief shall ____ or ___ command per Incident
Second Arriving Suppression Chief
The second arriving Suppression Chief shall be located in a position that doesn’t _____ ingress or egress to the action circle.
The Chief shall ____ Field ___ ___ per Incident Safety Officer SOG 442
First Arriving Rescue Chief
The first arriving Rescue Chief shall be located in a position that doesn’t impede ingress or egress to the action circle.
The Chief shall establish ___ command per ___ ___ Incident SOG 413
IMPEDE ESTABLISH . ASSUME IMPEDE ESTABLISH SAFETY . CHIEF MEDICAL MASS CASUALTY
