Disentanglement And Patient Extrication

Question 0

Seatbelt pretensioners are

Answer 0

Designed to reduce blunt force trauma as well as impact with airbags

Devices are mechanical .,which remain live even when battery disconnected

Or electrical activated using a spring or pyrotechnic device to deploy

Removal of seatbelt as soon as practical is recommended

Question 1

Our members should always treat the area around the airbags as if they haven’t deployed . The minimum safe distances observed should be

Answer 1

5” from side airbags
10” from driver airbags
20 “ from passenger airbags

Disconnecting battery starts the drain time for electronic airbags .. Does not effect mechanically activated ones

Question 2

Automatic rollover protection

Answer 2

Deploy when vehicle begins to rollover
Typically stowed behind the seats in convertibles in rear deck area
May deploy during rescue
Disconnect battery and avoid it’s deployment path
In some newer vars may be manually deployed if so manually deploying it may be a course of action

Question 3

First arriving officers must do this if people are pinned in a car accident

Answer 3

Notify dispatcher

Question 4

Disentanglement

Answer 4

The removal of wreckage from around the victim

Question 5

Extrication

Answer 5

The physical removal of victims from vehicle

The power unit should be placed in front or the rear of the vehicle

Never Position any part of the body between the tool and the vehicle

Question 6

Engine company ops at Disentanglement/ extrication

Answer 6

1. Officer divide company into 2 teams
2. Officer and two members proceed to scene of accident (with trauma bag and cervical collars )
   3 FF s can access to vehicle for trauma assessment and initiate treatment
   4 remaining members stretch and charge a precautionary line

NOTE: when fire or hazardous condition exists upon arrival stretching and charging a hose line is paramount …..consider a foam handline

Question 7

Ladder company inside team ops at Disentanglement/Extrication

Answer 7

1. Officer/FE team proceed to scene of the accident to initiate perimeter survey
   Chock the wheels and gain access to the vehicle
   Ensure car is in park , windows opened, seats are moved back and seat belts removed before shutting down ignition
   If engine or EMS not on scene stabilize patient
   Engine/ems arrival pass off patient

Question 8

Roof/ovm team at Disentanglement/Extrication

Answer 8

Roof and ovm bring hurst tool equipment to a scene of accident and initiate operation

Question 9

LCC

Answer 9

Blocks of traffic with rig initially

Can be used to bring additional equipment

Question 10

Who ensures the battery disconnected

Answer 10

The officer

Remove negative terminal first

Question 11

What should the inside team ensure before shutting down ignition

Answer 11

Car is in park
Windows are open
Seats are moved back
Seatbelts removed

Question 12

Where should the power unit be placed when extricating persons from vehicle

Answer 12

I’m front of or to rear of vehicle

Never position any part your body between the tool and vehicle

Question 13

Vehicle stabilization includes

Answer 13

Placing step chocks 
Shutting down engine 
Engaging parking break
Putting transmission into park 
Disconnecting battery ( open power windows and adjust power seats before disconnect battery )

Question 14

Two rules to be considered when stabilizing vehicles

Answer 14

1. Vehicles stabilized as they are found

2. Never right a vehicle with victim inside

Question 15

What is best stabilization method for a vehicle on all four wheels

Answer 15

Using step chocks and wedges

1. Place chocks just behind front wheels and in front of rear wheels , step side down ( should not interfere with foot swing )
2. Place chocks so they make snug contact with the rocket panel (wedge may be required
3. When further stabilization required deflate tires ( not always necessary )
   Use vice grips or pliers to remove valve to deflate tires

Question 16

Stabilization of vehicles on side or on roof

Answer 16

Place step chocks and wedges under side of car and tires
Vehicle shall be secured to a substantial object with utility rope
No member enter vehicle until properly stabilized
Good initial choice for entering vehicle is front or rear windows

Question 17

When the hinge side approach is used to removed a door you should cut this hinge first

Answer 17

Top hinge first
Bottom second

If hinge has a spring must be removed before cutting hinge ( Haligen or officers tool)

If door stop cot that also

Question 18

When using the third door removal to extricate a victim from the rear of a 2 door car four cuts are made . Where are these cuts made?

Answer 18

Top of B post
Bottom of B post
Vertical cut rear quarter panel
Horizontal cut rear quarter panel at the rocker panel

Question 19

When removing the roof of vehicle what 3 tools can be used to cut windshield ?

Answer 19

Sawzall with wood cutting blade
Windshield hand saw
And axe

Question 20

When removing the entire roof after making the cut you should carry the roof towards the front or towards the back of car

Answer 20

Toward front of vehicle

Question 21

When using the hinge forward method of roof removal do you need to cut the windshield

Answer 21

No does not have to be cut

Question 22

Before using the windshield saw to cut a windshield make sure the blade is installed correctly . How is it installed correctly

Answer 22

The teeth facing the handle of the tool

Question 23

Of the 3 methods that can be used to cut a windshield which is the least desirable method ?

Answer 23

Using the Axe

When using axe take firm but not full. Strokes and strike the windshield with corner of the axe blade

Question 24

When using the Haligen to break the tempered glass on the side or rear windows you should

Answer 24

Insert the adz end between door frame and glass and exert downward pressure

This method may not be effective on newer type glass
Side or rear windows that are laminated or rigid plastic a Sawzall may be used

Question 25

When attempting to access the passenger compartment of a vehicle when the vehicle is on it’s side access can usually be made by the front or treat windows if the roof is intact . What shall be done if roof is crushed ?

Answer 25

Cut the roof posts and hinge the roof down

Question 26

An alternate. Method to accessing a passenger compartment when the vehicle is on it’s side is to cut an opening in roof of vehicle . What is tool of choice to cut a hole in the roof?

Answer 26

Air chisel is tool of choice

Prior to cutting roof remove interior liner

Question 27

When removing the door when car is on it’s roof what is the preferred method of door removal ?

Answer 27

Attacking hinge side

Question 28

If a member gets hydraulic fluid in their eyes the eyes should be flushed for at least _____\ minutes

Answer 28

20