EMERGENY PROCEDURES DISENTANGLEMENT, STEAM,WATER RESCUE Flashcards
Disentanglement 1.1
What factors play a role in determining the appropriate ACTION TAKEN and the ORDER in which they are carried out?
TYPE of vehicle #of VEHICLE POSITION of vehicle # of PATIENTS CONDITION of patients Any EXTERNAL HAZARDS at scene
Disentanglement
What is know as the GOLDEN HOUR?
The FIRST HOUR from the BEGINNING of an accident with CRITICAL INJURIES.
A victim DELIVERED to a surgical team WITHIN the first hour has the best chance of survival.
Disentanglement 1.2
Today’s NEW TECHNOLOGY cars have as many as, how many AIRBAGS?
As many as
16 AIRBAGS
Disentanglement 2.1
What is PARAMOUNT to know,that plays a role and could possible affect our DISENTANGLEMENT and EXTRICATION operations?
SAFETY FEATURES
Disentanglement 2.1
Today’s cars save lives by?
wrapping occupants in
1) REINFORCED ALLOYS
2) IMPACT ABSORBING CRUMPLE ZONES
3) AIR BAGS
Disentanglement 2.2
Upon IMPACT, REINFORCED wheel and engine DEFLECTION systems will DEFLECT the wheels and motor which way?
UNDER the car AWAY from the PASSENGER COMPARTMENT
Disentanglement 2.3
What has drastically increased the ability of occupants to survive an IMPACT, but can COMPLICATE Disentanglement effort due to the STRENGTH of DEFORMED METAL STRUCTURE?
CRUMPLE ZONES that absorb impact, preventing it from being absorbed into the passenger compartment
Disentanglement 2.4
What has been developed to protect occupants from a FRONT or SIDE IMPACT?
REINFORCED DASHBOARDS
DISENTANGLEMENT 2.5
______-STRENGTH ______-ALLOY and ____STEEL is used in vehicles for improved strength to weight ratio?
HIGH
LOW
BORON
DISENTANGLEMENT 2.6
Where are AIRBAGS located?
Airbags are located: Steering wheel Dashboard Under dashboard AND ANY COMBINATION OF; DOORS SEATS ROOF RAIL and some SEATBELT SYSTEMS
DISENTANGLEMENT 2.6
How can AIRBAGS be deployed?
ELECTONICALLY
or
MECHANICALLY
DISENTANGLEMENT 2.6
T/F
Can AIRBAGS be deployed if battery is destroyed in an accident?
TRUE
DISENTANGLEMENT 2.6
What is the RULE that we go by when working around the area of AIRBAGS?
5-10-20 AT LEAST 5" from SIDE 10" from DRIVERS 20" from PASSENGER
DISENTANGLEMENT 2.8
Sheet metal on EXTERIOR of car is getting replaced by?
Aluminum
Composite materials
Carbon Fibers
Plastic (high impact)
DISENTANGLEMENT 2.9
REAR and SIDE WINDOWS are been replaced from tempered glass to ?
LAMINATED GLASS
Or
RIGID PLASTIC
(HIGHLY RESISTANT TO BREAKING)
DISENTANGLEMENT 2.15
Where can batteries be found?
1) Under the HOOD
2) Under the SEAT
3) wheel well
4) TRUNK
some vehicles have MORE THAN 1 battery
DISENTANGLEMENT. 3.1
Who will notify DISPATCH when a person is PINNED in the vehicle?
FIRST ARRIVING
OFFICER
DISENTANGLEMENT 3.1
What are SIZE UP considerations at MVA w/ victims pinned?
1) call ADDITIONAL UNITS (Rescue, EMS)
2) 10-75 for an emergency should be considered when SEVERAL VEHICLES w/ NUMEROUS PATIENTS
3) downed electrical wires, gasoline spill etc
4) TYPE of vehicle,# and TYPE of INJURIES
5) SECONDARY accident considerations
DISENTANGLEMENT 3.3.1
Define DISENTANGLEMENT?
Define EXTRICATION?
DISENTANGLEMENT
REMOVAL of wreckage from AROUND THE VICTIM
EXTRICATION
PHYSICAL REMOVAL of victim from vehicle
DISENTANGLEMENT 3.3.3
Where should the POWER UNIT be placed at an extrication?
FRONT or REAR
of VEHICLE
Can operate on BOTH SIDES w/ this placement
DISENTANGLEMENT 3.3.3
What are the TOOLS of choice to use at an extrication?
SPREADERS
and CUTTERS
**ALWAYS BE IN CONTROL of the tool and NEVER POSITION ANY PART OF YOUR BODY BTWN TOOL and VEHICLE
DISENTANGLEMENT 4.1
How many teams should the ENGINE be divided into?
What should they do?
2 teams
1 team
Boss
2 CFD trained FF (with trauma bag n collars)
Remaining MEMBER(s) STRETCH and CHARGE a precautionary line
When FIRE or HAZARDOUS conditions exists upon arrival STRETCHING and CHARGING is PARAMOUNT
DISENTANGLEMENT 4.2
Who will ENSURE car is in park,windows opened,seats moved back and seatbelts are removed BEFORE SHUTTING IGNITION DOWN ?
INSIDE TEAM
TRUCK members shall STABALIZE patient if NO ENGINE OR EMS are on the scene
DISENTANGLEMENT
Who will bring HURST tool to the scene of an accident?
ROOF n OV
DISENTANGLEMENT 4.2.4
When disconnecting battery which TERMINAL do you do FIRST?
NEGATIVE terminal (black)
Officer ENSURE IT
DISENTANGLEMENT 4.1
Assignments ENGINE n LADDER
ENGINE
Boss n 2 CFD trained to scene
Other members stretch n charge line
LADDER
Boss N INSIDE TEAM (CHOCK,shut down ignition)
Roof n OV Hurst tool
Chauffer (block traffic, bring additional equipment)
DISENTANGLEMENT 5.1
What are parts of the STABILIZATION process?
In other words how do we do to stabalize a car
1) step CHOCKS
2) shutting DOWN ENGINE
3) engaging PARKING BRAKE
4) putting transmission INTO PARK
5) disconnect the BATTERY
DISENTANGLEMENT 5.2
What 2 rules are ALWAYS considered for stabalizing a car?
1) Vehicles are stabilized as FOUND
2) NEVER right a vehicle w/ a victim INSIDE
BEFORE ANY STABALIZING CHECK UNDER VEHICLE
DISENTANGLEMENT 5.4
How do u STABALIZE a car on ALL FOUR WHEELS?
How do u STABALIZE a car on their SIDE or ROOF?
ALL FOUR WHEELS
STEP CHOCKS N WEDGES
BEHIND front wheels
FRONT of rear wheels
SIDE OR ROOF
STEPCHOCKS N WEDGES
UNDERSIDE of car and tires
SECURED TO SUBSTANTIAL OBJECT w/ utility rope
further stabalization by DEFLATING tireS use
VISE GRIPS REMOVE STEM
DISENTANGLEMENT 6.1
What are the 2 options on DOOR REMOVAL from a vehicle?
Nader Pin/Staple
OR
HINGE SIDE
Hinge side approach w/ new car construction
DISENTANGLEMENT 6.2.1
What HINGE do we CUT FIRST?
What MUST be removed prior to cutting the hinge?
TOP HINGE first
Then
BOTTON HINGE
if hinge has a spring it must be REMOVED before cutting
DISENTANGLEMENT 7.1
The THIRD DOOR REMOVAL will be used on what type of vehicle?
Where do we cut?
TWO DOOR VEHICLE
4 CUTS all together 1cut TOP of BPOST 1cut BOTTON of BPOST VERTICAL CUT rear of quarter panel HORIZONTAL CUT rear quarter panel at ROCKER PANEL
DISENTANGLEMENT 8.1
Total ROOF removal,where are we CUTTING ?
LOW on A POST (cut a portion of WINDSHEILD)
HIGH on B POST
HIGH on C POST
HIGH on D POST (cut a portion do REAR window)
cut POST ON ONE side of vehicle before starting the other side
DISENTANGLEMENT 8.2.2
What tools can be used to CUT the WINDSHEILD?
1) SAWZALL w/ WOOD cutting blade
2) WINDSHEILD hand saw
3) Axe (last resort) firm but NOT FULL STROKES