Removal of the patient Flashcards
What is the first step in vehicle extrication?
Work with rescue personnel to determine the best route to remove the patient from the vehicle.
What factors should be considered during vehicle extrication?
Specific details of the entrapment, the patient’s condition, and the expertise of the crews on scene.
What are two methods of patient removal from a vehicle?
- Through the driver’s door
- Complete removal of the vehicle’s roof
How intensive is the process of removing a patient from a motor vehicle?
It involves multiple rescue personnel, equipment, and effort to prevent further injury.
What should be assessed before patient removal?
How urgently the patient must be extricated and the best position to protect the patient.
What should be examined on the trapped patient?
The exposed area of the limb or other part to determine the extent of injury and hidden bleeding.
What should you do if there is a concern about significant hemorrhage?
Work swiftly to control the hemorrhage and consider placing a tourniquet.
What is the effect of tourniquet use on mortality in patients with peripheral vascular injury?
It is independently associated with a sixfold decrease in overall mortality.
What should be evaluated in the trapped area of the patient?
Sensation to know if increased pain indicates an object is pressing on or has impaled the patient.
What does the rescue team do during patient extrication?
Assesses how the patient is trapped and determines the safest way to extricate.
What should be re-evaluated regarding the patient’s removal?
Whether to use manual stabilization and rapid extrication or apply a spinal motion restriction device.
Why is it impractical to apply extremity splints within the vehicle?
It is generally difficult to properly apply them in that environment.
How can extremity injuries be stabilized during removal?
- Securing an injured arm to the body
- Securing one leg to the other
What should be determined after the extrication plan is devised?
How best to protect the patient during the extrication process.
What personal protective equipment should be worn during extrication?
A helmet with an impact-resistant visor and appropriate hearing protection.
What is essential for communication during the extrication process?
Ability to communicate effectively with the patient and the rescue team.
True or False: Your safety and that of the patient are not important during extrication.
False
Fill in the blank: The extrication process is often extremely _______.
[noisy]
