Road Crash Rescue Flashcards

1
Q

Explain the importance of conducting regular equipment maintenance checks on hydraulic rescue equipment.

A

All rescue equipment must be regularly checked and correctly maintained to ensure reliable operational readiness at all times.

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2
Q

As per SOP 3.2.1, list all the items of PPE/PPC required to be worn and/or readied for immediate use at a road crash rescue incident and detail the reason for each.

A
  • Level 1 tunic
  • Level 2 over trousers
  • Level 2 firefighting boots
  • Level 1 firefighting gloves
  • Eye protection
  • Purple nitrile gloves
  • P2 particle mask
  • Pump driver - full Lv2 turnout gear
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3
Q

Identify and describe the eight (8) stages of rescue.

A

Acronym PRIGEDRT;
1. Preparation - Regular training. Maintain equipment. Familiar DFES SOPs.

  1. Response - Consider the presence of medical aid, safe travel to the scene, the approach to the incident, positioning of vehicles at the scene.
  2. Incident management - Scene assessment, vehicle rescue zones, safety of the scene.
  3. Gaining access - Can it be made quickly and is it safe.
  4. Emergency care - DRSABCD, 5 Point Plan.
  5. Disentanglement - Disassembly, Distortion, Displacement, Severance.
  6. Removal & Transfer - Movement of a treated and immobilized patient from the area to an ambulance.
  7. Termination - Final check, removal of debris, clean up, operational debrief, critical incident stress debrief.
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4
Q

As the pump operator at a road crash incident, how can the rescuers & crash scene be protected? List three (3) safety measures you can do in your role?

A
  1. Park the appliance in the “fend off” position.
  2. Use of signage and road cones.
  3. Leave beacons turned on whilst at the scene.
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5
Q

As the 1st arriving appliance at an RCR incident, what common, major hazards may be encountered?

A
  • Traffic
  • Electrical (downed power lines)
  • Hazardous materials / spills
  • Leaking fuel
  • Bystanders
  • Wire rope safety barriers
  • Biological hazards
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6
Q

You are faced with a driver of a car being trapped after a collision with a tree. What are the principle methods for gaining access to the casualties in this situation?

A
  1. Through the doors
  2. Through the windows
  3. By removing a section of the vehicle
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7
Q

What actions conducted by a rescuer can trigger the deployment of an SRS device?

A
  • Reconnecting the battery
  • Cutting into an airbag
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8
Q

Identify at least four (4) likely regions of a vehicle where SRS devices could be located.

A
  1. Steering wheel
  2. Passenger side dash
  3. A, B, C pillars
  4. Lumbar (side of seats)
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9
Q

As an firefighter with some experience, what are YOUR (as a FF only) defined roles, and responsibilities at a road crash rescue incident?

A

Role:
Provide firefighting suppression and attend to the rescue victims
Provide support and assistance as required

Responsibilities:
Provide firefighting suppression
Provide human and physical resources
Provide rescue and firefighting suppression response capabilities
Provide HAZMAT management
Provide communication network, as required
Provide support and assist as required

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10
Q

In assessing a casualty, why would you conduct secondary survey?

A

To detect any problems or injuries not immediately obvious, before they have the potential to become life threatening.

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11
Q

In relation to assessing an injured casualty, explain the difference between signs & symptoms.

A
  • Signs - what you can see.
  • Symptoms - what the casualty can feel.
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12
Q

List at least three (3) types of additional equipment that may be required when treating a casualty at an incident, and then describe how & why it would be used.

A
  1. Oxy-Viva
  2. De-Fib
  3. First Aid kit
  4. Longboard
  5. C-collar
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13
Q

You have been providing medical care to a casualty and the ambulance arrives. What important information needs to be given to medical personnel during a handover?

A
  • The name age (years) and sex of the casualty
  • What is the presenting problem
  • How did it happen? (mechanism)
  • Where – pattern of injury, location of pain etc.
  • Past medical history
  • If they are on medication
  • Any known allergies
  • Time of their last meal

AMPLE

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14
Q

A casualty needs to be moved to a safer location as the current area they are located has become unsafe. What considerations should be made before moving the casualty?

A

Is the casualty suitably packaged to be moved safely. Using longboards, shortboards etc.

Will the new location be accessible should further medical treatment be required.

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15
Q

Determine if the following are signs or symptoms:

A
  • Bleeding
  • Pain
  • Nausea
  • Deformity
  • Numbness, Pins & Needles
  • Rapid / Weak pulse
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16
Q

A junior firefighter asks for your assistance as they believe the casualty they are caring for is going into shock. What would you look for in determining if this is the case and if so what treatment would you administer?

A

Pale face, fingernails and lips (pallor)
Reduced capillary refill in extremities
Cold, clammy skin
Usually a weak, rapid pulse
Rapid breathing
Faintness or dizziness
Nausea
Restlessness
Thirst
Care
OPR
Prevent further injury
Check DRSABCD
Control external bleeding to minimise blood loss
Help casualty to rest comfortably to reduce pain and fear
Maintain normal body temperature
Elevate the legs to assist the return of blood flow to the major organs
AVPU

17
Q

Which of these casualties presents with the highest priority for treatment;

A
  1. A person who is unconscious, with an open airway
  2. A person with a closed fracture of the femur
  3. A person who is bleeding from a lacerated arm
  4. A person with an obstructed airway
18
Q

On arrival an ambulance officer asks you what their state of consciousness was when you arrived. What are they four (4) options for you to respond to this question?

A
  1. Is patient alert
  2. Do they respond to voice
  3. Do they respond to pain
  4. Are they unresponsive
19
Q

A casualty must be removed from a vehicle. Using your knowledge of the principles of spinal management how would this best be done?

A
  • Maintain spinal alignment
  • Minimise body twist
20
Q

How do we correctly size a cervical collar?

A
  1. Use your fingers to measure the distance from the shoulders to the chin.
  2. Draw an imaginary line across the top of the shoulders (trapezium), where the collar will sit and the bottom plane of the casualty’s chin.
  3. Size the collar by placing your fingers between the lower edge of the rigid plastic (not the foam padding) and the sizing post that is closest to your measurement.
21
Q

You attend a motor vehicle accident – when assessing the casualty, what would you be looking for to indicate the severity of their injuries?

A

The mechanism of injury is the force that has acted on the body and the pattern of injury is the actual injury or injuries that have resulted.

22
Q

How can you utilise a Thermal Imaging Camera to best effect at a RCR incident?

A
  • Check seat for heat.
  • Missing occupants that may have been ejected.
23
Q

When treating a casualty who has suffered serious burns, what complications do you need to carefully consider other than the initial trauma?

A

Hypoxia – airway obstruction/swelling following burn injury
Hypoxia – no oxygen at scene of burn (dead cells)
Toxic inhalation – carbon monoxide, cyanide, others
Fluid loss (hypovolemic shock)
Infection (later effect)
Associated injuries, organ failure (later effect)
Over cooling, bringing on the onset of hypothermia
Circulation restricted or cut off due to swelling – rings or watches should be removed and careful documentation as to what has been removed and where it was placed

24
Q

What does the acronym PEARL stand for, and at what stage of the five point plan would it be assessed?

A

Pupils, Equal and Reactive to Light.

25
Q

You are the first arriving emergency crew on scene at a road crash incident involving a trapped casualty. What can you do to minimise further injury or discomfort for the casualty, prior to extrication.

A
  • Stabilize
  • OPR
  • Apply C-collar
26
Q

You arrive at a RCR incident and a deployed airbag is discovered. What precautions must be taken to ensure that safety is maintained for both rescuers and casualties?

A

30, 60, 90 rule.

Maintain distance of;
- 30cm from lumbar/seat airbags
- 60cm from driver side airbag (steering wheel)
- 90cm from front passenger airbag (dash)

27
Q

At a multiple vehicle crash at a major intersection, who is the HMA and who are the Combat agencies that are likely to attend?

A

HMA;
WAPOL

Combat agencies;
DFES
Ambulance
Local shire
Volunteer bush fire brigade