Extrication, Bldg Collapse, Tech Rescue Flashcards
All units shall position their vehicles in such a way to ___________.
protect the scene from vehicle traffic.
The ABC’s of Rescue can serve as an initial guideline for these incidences:
Assess- The scene. Set up zones. Call for additional units as needed. Make everyone aware of dangers associated with the vehicle (i.e. airbags, high voltage, and hybrids).
Balance- Stabilize the vehicles. If vehicles are in a position other than on all four wheels, consider additional resources. Stabilize the hazards to protect the patients and rescuers. Secure the vehicle by giving the keys to the IC.
Cut- The vehicle if needed to release the patient. Visualize any hidden dangers. Strip it, before you rip it. Remove all glass before you move any metal.
Door removal- Try before you pry. It is recommended that you open the door and cut the hinges.
Enlarge any openings that will hinder you. Consider complete roof removal to give your crews maximum work space. Use a Dash displacement to disentangle the patient.
Find Plan B. Always have a secondary plan of attack. Don’t continue with something that is not moving the scene forward.
Get everyone on scene together and have a PIA to critique the incident.
Extrication Capabilities Matrix: Vehicle Position - Upright/On side
Ladders & Engine 24 (or Squad)
Extrication Capabilities Matrix: Vehicle Position - On side, overturned or underneath
Squad
2 or more patients
Squad
D - Describe the scene: (For Vehicle accident with Extrication)
D - Describe the scene (i.e. number of vehicles and type, number of patients,
Any hazardous conditions seen, i.e. fuel spills, fire), Arrival conditions (i.e.),
1st Arriving Engine: Extrication
respond directly to the scene and operate to their best advantage.
Conduct a Scene Survey to identify hazards, control zones, victims, resources required in association with the scene.
Transmit size-up to Dispatch using the I.D.E.A. format request any additional resources.
Establish command and request a tactical channel if not already assigned.
Consider placement of Squad and or ladder truck if enroute.
Ensure Personnel are wearing appropriate PPE i.e. bunker gear, extrication gear, masks, goggles, gloves, safety vests
The driver of the first-due engine company shall address the issue of fire protection by
the use of a pre-connected hoseline and A.B.C extinguisher. Once fire protection has been established, additional duties may be performed (stabilization of the vehicle, glass removal, and setup of extrication tools)
1st Arriving Rescue: Extrication
respond directly to the scene/operate to best advantage.
If engine’s arrival is delayed, transmit size-up/request any additional resources
PIC conducts S.T.A.R.T triage
If a mass causality incident is encountered, request appropriate alarm
Ensure personnel are wearing appropriate PPE, FULL BUNKER GEAR, EXTRICATION GEAR, MASKS, GOGGLE, SAFETY VESTS
Arrival of Battalion Chief: Extrication
assume Command
The transfer of command should be face-to face when possible.
The transfer of Command
Develop ICS structure as needed.
Request updates for patient removal as necessary. Consider the need to establish Level II Staging Area.
Extrication: Ladders & Engine 24
Large passenger vehicle (Vans, SUVs)
2 patients,
UPRIGHT/ON ITS SIDE,
Short/Limited complications
Extrication: Squad
High capacity vehicle
On side, overturned or underneath
2 or more patients
Delayed or complicated
Extrication: Engine
Passenger vehicle
Upright
1 patient
Short/No complications
The transfer of Command shall include communication of the following information:
o The status of the current situation.
o Resources committed to the incident.
o Location of the RIC, if appropriate (IDLH).
o Resources responding.
o The present organizational structure.
o An assessment of the current effect of tactical operations.
Response Considerations: Upon receipt of a call identifying a possible technical rescue incident, the officer in charge should use the following guidelines to assist in the initial size-up of the incident.
- Request the following information from the dispatcher: a) What is the main problem?
b) Type of space or facility involved?
c) How many persons are involved?
d) Any specific hazard known? - Review pre-planning information relating to location, if available.
Special Considerations: Apparatus should park in such a manner that _________
secondary collapse, vibrations or exhaust fumes are not endangering the incident site, personnel or apparatus.
Special Considerations:
Actions taken after arrival:
a) Locate a responsible party such as the site foreman or security guard.
b) Determine number, locations, and status of victims.
c) Determine if this is a rescue or a recovery.
d) Evaluate any known or potential hazards.
e) Determine what level of evacuation, if any, is needed.
f) Request the Special Operations Group, if not already dispatched.
g) Request additional fire department resources, law enforcement or utility
companies, as needed.
Special Considerations:
Trench Rescue
a) Under no circumstances should any fire or rescue personnel enter
an unprotected trench.
b) Under no circumstances should personnel approach the trench from
the sides. Always approach from the ends.
c) Identify any utilities which are present and either control them or request
the appropriate utility company to control them.
d) Assess the number of victims and their location.
e) Using electric fans or gas powered fans equipped with remote
exhaust systems, ventilate the trench with positive pressure
ventilation.
f) If the victim is conscious or ambulatory, offer him a shovel and/or a ladder
to remove himself from the collapse zone.
g) Prepare for the arrival of the Special Operations Group.
Special Considerations: Confined Space
a) Identify and secure all utilities (electrical, water, gas) associated with
the space.
b) Gather information on location, number, and position of victims.
Secure on-scene technical assistance from the job foreman or witnesses
to the incident.
c) If available, obtain blueprints, maps, or sketches of the space.
d) Prepare for arrival of the Special Operations Group.
Special Considerations: Rope Rescue
a) Ascertain if there is any other method by which to remove the victim.
b) Gain access to a location above the patient.
c) Locate and secure at least three anchor points, preferably part of the
building components, i.e., roof, a/c unit, elevator equipment rooms.
d) Prepare for the arrival of the Special Operations Group.
Special Considerations: Structural Collapse
a) Assure all utilities and fires are controlled.
b) Assess structural stability of adjoining structures.
c) Recon the structure and identify type of structure, use and possible number
of victims.
d) Remove surface victims first.
e) Prepare for the arrival of the Special Operations Group.
Special Considerations: Water Rescue
a) Assess location of victims.
b) Assure all department personnel in or around the incident are in personal
flotation devices if available.
c) In cooperation with other responding units, assess and decide on best
method of reaching and removing patients. d) Consider/confirm dispatch of Boat 3.
