Chapter 30 Flashcards
Explain the Platinum Ten concept
In order to enhance the Golden Hour
- Remove Patient from vehicle/entanglement and be enroute to a trauma centre within 10 minutes of our arrival on scene
List the practical Applications of ParaTech
Trench Rescue
Building Collapse
Vehicle stabilization
Lifting
List the Types of Collisions
Head on T-Bone Rear-End Rotational Roll Over
Safety can be divided into which categories of priority
Rescue Personnel Safety
Scene Safety
Patient Safety
What must take place during the Golden Hour?
Notification Dispatch Response Scene Stabilization Vehicle Stabilization Patient Extrication Patient Packaging Patient Transport Stabilization in the Emergency Room Surgical Intervention
What are the two types of glass found in automobiles?
Safety Glass
Tempered Glass
Explain the 5-10-20 Rule
Rescuers must stay
5” away from Side air bags
10” away from driver air bag
20” away from passenger air bags
What are the Hybrid vehicle Emergency Procedures
Hybrid vehicle identification Vehicle stabilization Access to passenger compartment Turn key to OFF position and remove from ignition Check that the Green light goes out Disconnect the 12v battery
What are the rules of thumb for wooden cribbing
Finished height cannot be > 3x working length of the timbers
Flat level base
Crib as you go
Do not place body part between crib and vehicle
What belongs in the cold zone?
All other operations established here: Fire Command Tool staging Personnel Staging Apparatus placement
-General public kept outside the cold zone
Define the Hot zone
Location where the extrication is taking place and the hazards exist
Whats should be placed in the warm zone?
Hydraulic pumps
essential tools
Parts removed from vehicles
Charged handline
How big is the Outer circle?
3-5m in diameter around the inner circle.
Influenced by topography and traffic hazards
What factors influence Inner Circle size?
Number of patients
Degree of entrapment/ extrication needs
Number, conditon and size of vehicles
Other hazardous conditions
What is looked for within the Outer circle
Hazards
Victims
Other potential problems
They can/Should also question bystanders
What questions should be asked during a size up?
What HAS happened What IS happening What RESOURCES are needed What is LIKELY to happen What HAZARDS need to be mitigated
List the components of Rescue Personnel Safety
Position responding unit in a manner to protect the crew from traffic Always wear full PPE Eye protection Gloves Fire helmet Traffic safety vest Full Duty gear
List the components of Scene Safety
Hazard controls (fluids, Elec, weather etc)
Have handline at the ready
Have fire extinguisher ready
Traffic control
Crowd control
Control of other agencies (police, ems, epcor)
What needs to be assessed in the size up?
Number and condition of vehicles
number of patients
extrication needs
Hazardous conditions
List the types of framework
Uni-body
Full Frame
Space Frame
What are the Three Compartments in a vehicle
Engine Compartment
Passenger Compartment
Storage/Cargo Compartment
List the steps of scene management
Arrival - Establish command - Initial scene overview Size up - Inner/outer circle Incident Action Plan - Establish zones(Hot/war/cold/tool staging) -Initiate Extrication
Define Displacement
Re aligning, adjustment or re-positioning of existing major parts
Disentanglement can include what operations?
Displacement
Distortion
Severance
Disassembly
Explain Distortion
The bending of the sheet metal or any components of the vehicle
Explain Disassembly
As defined, it is the physical act of taking apart vehicle components
Explain Severance
The physical act of removing parts of the vehicle
Why should air be left in the tires?
EPS Investigations of tire pressures
Towing
List the types of tools used in Extrication
Striking tools Prying Tools Cutting Tools Pushing/Pulling Tools Supporting Tools
Tools can be powered by any of which methods?
Manual Electrical Pneumatic Hydraulic Gas-powered
List the types of Striking Tools
Sledge Hammers Mauls, Picks Axes, mallets Hammers Punches Chisels
List the types of Prying tools
Crow bar Halagen Pry Bar Claw tool Pry axe Flat bar
List the types of cutting tools
Chopping tools
Snipping tools
Saws
Knives
List the types of Pushing/Pulling tools
Jack all Rescue winch Air lifting bags Holmatro - spreaders -ram -combi tool
List the types of Supporting tools
Air struts Wood cribbing Step Chucks Wedges Chains Ropes Webbing Anchor slings Jack All come-along
What are the principle parts of the air strut
The piston The barrel Collar Base plate Tip Valve
What are Rescue Incidents
Involve the removal and treatment of victims from situations involving natural elements, structural collapse, elevation differences, or any other situation not considered to be an extrication incident
What are Extrication incidents
Involve the removal and treatment of victims who are trapped by some type of man-made machinery or equipment
What factors should be noted upon arrival/approach
Potential traffic hazards
Numbers, types, and positions of vehicles involved
Fire potential and possibility of hazardous material involvement
Utilities involved
Need for additional resources
Priority to position initial responding unit to protect the scene and responders so assessment and assistance can be initiated
List the components of Patient Safety
Protect the patient from further harm by stabilizing the scene, and vehicles involved
cover the patient as needed
Someone should stay with the patient because of all the noise of extrication ( hearing protection may be offered if feasible)
Being covered will only add to the stress of the patient. Provide the patient with comfort and perform a complete primary survey
