Chapter 30: Vehicle Extrication Flashcards
Rescue Incident vs Extrication Incident
Rescue:think of being stuck in your environment: natural elements, structural collapse, elevation diff.
Extrication: vics stuck in man made machinery or equipment
10 steps of the Golden Hour
NDRS V PPP SS
Notification Dispatch Response Scene Stabilization vehicle STABILIZATION Patient EXTRICATION Patient Packaging Patent Transport Stabilization in RE Surgical intervention
Platinum 10
Pt. should be removed from vehicle/entanglement and en-route to Trauma Center with in 10min of our arrival on scene
Safety Priorities
Rescuer safety
Scene Safety
Pt. Safety
Inner and Outer Circle
Inner: depends on how many vehicles, Pt’s, extrication needs, Hazards : only have essential tools and rescuers in this zone
outer circle: 3 to 5 m around inner circle: do a sweep for hazards, Pt’s question bystanders
3 zones of the Incident action plan
Hot Zone: where the extrication is taking place
Warm zone: placement of essential tools, equipment, and hand line.
Cold zone: equipment and personnel staging
8 sides of a Vehicle
Drivers side Passenger side Front Rear Roof Under carriage Inside Outside
posts/pillars
run A,B,C from front to back
5 types of Collions
Head on T bone Rear end rollover Rotational
3 types of frame work
Uni body
Full Frame
Space Frame
3 compartments
Engine
Passenger
cargo
5-10-20 rule
5” from sides
10” from drives side/steering-wheel
20” from passanger side dash
air bags deploy at
325km/h
when D/C a battery
negative first
4 methods of Disentanglement
DDDS
Distortion
Disassembly
Displacement
Severance
