8 Stages of RCR Flashcards
Stage 1 of RCR
Preparation
For rescuers to be adequately prepared they must:
Train regularly with relevant rescue equipment.
Carry out training in realistic situations.
Maintain rescue equipment by cleaning and servicing after use. Daily checks.
Prior knowledge help with preparedness. Area knowledge, experience, car knowledge.
Stage 2 of RCR
Response
Presence of medical aid:
ACTF&R may be first responders and may need to conduct life support and triage to determine priorities.
Safe travel to scene:
Travel in a safe manner to arrive in a calm condition and not hinder performance. Be aware of:
The day of the week - work/ school day, weekend.
The time of day - peak period, school closing etc.
The weather - fine, rain, wind etc.
Detours due to road or building construction, sewer installation etc.
Railway crossing, bridges, underpasses.
Pedestrians, school children.
Be alert, drivers of the other vehicles may brake suddenly, or pull over in an unexpected manner.
Approach the incident area:
Appreach the incident area quietly and purposefully.
Look for extended accident scene.
Turn off audible warning device shortlybefore arrival.
Leave your beacons on.
Position of Rescue Vehicle:
Place rescue vehicle in a position that will protect the incident site and rescue crews, and affort firefighter easy access to equipment needed for rescue operations. This is known as the ‘fend off’ position.
Liase with other emergency services:
Inter-service cooperation is essential for good outcomes at incidents. Police and ambulance paramedics maygive you information on crime scene and patient care.
Stage 3 of RCR
Incident Management (See TRK 39 PG32 for more info)
Main points include:
Assessment (outer and inner circle)
Look under, aboce and below to determine number of casulties, types of injuries, types of entrapment, hazards involved, access and other hazards.
Does BA need to be worn.
Action circle
Immediate area around vehicle. Must be kept clear and neat.
Talk to casualty, ask SAMPLE question.
Sign and Symptoms
Allergies
Medication
Past history
Last meal
Events leading up
Hazard controls
Safety of the scene
Crowd Control
Eletrical
Traffic
Hazardous Materials
Biological Hazards
Leaking fuel
Stabilisation
Support Functions
Liase with AFP, Ambulance, Heavy lifting and areial appliance, ActewAGL and other support services. Provide IMIST report to ACTAS.
Identification
Mechanism / Medical complaint
Injuries / Information
Signs
Trends and Treatment
Equipment Staging
Establish rubbish dump, equipment staging area, support functions area.
Stage 4 of RCR
Gain Access
Make rapid and safe access making sure to not make the situation worse.
Don’t enter vehicle until stabilised unless absolutely necessary.
Always tell casualty what happening to help re-assure.
Stage 5 of RCR
Emergency Care
ACTF&R may be first to respond and may need to administer emergency medical care. Follow DRSABCD
Danger (could be danger to casulty, yourself and onlookers)
Response
Send for help
Airways
Breathing
CPR
Defibrilation
Stage 6 of RCR
Disentanglement (4 methods)
After access has been gained to provide emergency medical care.
Prime rule : No injured person shall be moved until emergency care has been administered. Can be disregarded in casualty or rescuers lives are in danger.
Disassembly : involves removal of nuts, bolts and other fasteners that hold equipment together.
Distortion : Movement of equipment, debris or other obstruction.
Displacement: Complete removal of equipment or debris from vehicles or structures involved.
Severence : Cutting of debris or equiipment so it can be removed.
Stage 7 of RCR
Removal and Transfer
Removal is from vehicle to area outside incident area. Removal of trapped or injured persons can be inplemented only after consultation with ambulance officers, ensure the casualtys, are protected from additional trauma.
Tranfer is from removal point to waiting ambulance. Transfer can be simple short distances or long distance over difficult terrain where special equipment may be used.
Good communication is essential. Between rescuer’s, rescuer and casualty and other agencys.
Stage 8 of RCR
Termination
Final check:
Vehicle and surroundings - no casalty left(child or baby), check boot and small space, area around in shrubs ditches or drains.
Removal or debris - Debris is not be to moved unless cleared by AFP. Keep notes or anything youve moved or done.
Clean up and preparation:
Scene clean up - usually carried out by ACT roads/ TAMS but can involve F&R after all rescue operations are complete.
Equipment - make up tool and equipment ensuring to clean and service as much as possible at scene to be ready for another response. Carry out futher servicing whislt back at station.
Hygiene - wash hand after. Contaminated clothing placed in clear plastic bag and sent for cleaning. If unable to clean placed in contaminated waste bag for disposal.
