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TFD BC > Vehicle Extrication > Flashcards

Vehicle Extrication Flashcards

1
Q

What is the golden hour?

A

The concept based on the statistics that show that a seriously traumatized patient has about 60 minutes from the time of the accident to be delivered to a surgical team at the hospital

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2
Q

What is the national average time?

A

73 minutes

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3
Q

Our goal at TFD is to keep the average extrication time at ___ to ___ minutes

A

10 to 15 minutes

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4
Q

What are the five ways that we can help our average extrication time?

A

Training
Knowing our equipment
Understanding new vehicle construction and technology
A systematic approach to vehicle extrication
Always working as a team

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5
Q

For auto extrication, what are the 4 things listed for personal safety?

A

Full turnouts
Eye protection
Hand protection
Hearing protection

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6
Q

For auto extrication, what are the four things listed for safety equipment?

A

Respiratory protection
Charge hose line
Sufficient lighting
Be alert around traffic

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7
Q

All TFD ____ and ________________ carry Amkus units including power plant, spreaders, cutters, ram, and extension kit

A

Engines and Ladder Tenders

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8
Q

When using a Sawzall, you should beware of ____

A

Glass dust

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9
Q

Ladder tenders also carry ______

A

Sawzalls

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10
Q

Squad 19 and squad 20 are also equipped with ____, _____, and _____

A

Paratech
Rams
Airbags

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11
Q

Heavy rescue 4 carries a wide assortment of tools. What are the six things listed on the PowerPoint?

A 
Paratech
Rams
Airbags
Sawzall
Porta Power
Other valuable equipment
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12
Q

One it comes to knowing your equipment, need to make sure that you hook it up _____ the first time

A

Right/correctly

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13
Q

What do you need to ask yourself about the power plant before you use it?

A

Does it have fuel and oil?

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14
Q

When it comes to auto extrication, the longer the line, the ____ the tool run

A

Slower

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15
Q

When it comes to auto extrication, you need to ask yourself can I operate _____ tools at once?

A

Multiple

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16
Q

When it comes to auto extrication, you need to think about the ____ of combination tools

A

Limitations

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17
Q

When it comes to TFD extrication response, you need to consider dispatching heavy rescue 4 ____

A

Early

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18
Q

When it comes to TFD extrication response, you may need to consider requesting additional _____ units

A

Paramedic

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19
Q

What is a TFD major medical response?

A

1 Battalion chief
3 suppression units
3 paramedic units
1 EC

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20
Q

When it comes to TFD extrication response, you may need to consider ____ _____ due to extrication time

A

Air transport

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21
Q

When it comes to TFD extrication response, may need to request TPD for ___ _____

A

Traffic Control

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22
Q

In ___(year), it was put into law that front bumpers on light vehicles were to be able to withstand a ____ mph impact

A year later ____ ____ were also included in the law

A

1973
5mph

Rear bumpers

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23
Q

Loaded bumpers can store ____ ____ after a crash

A

Potential energy

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24
Q

Posts are ____ sheet metal and are _____

A

Rolled

Hollow

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25
Q

Since most posts are reinforced at each end and have a hollow center, it is clear that the ____ of the post is the weakest point

A

Center

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26
Q

What is the exception to the rule when it comes to posts having the center as it’s weakest point?

A

B posts which may have reinforcing plates for seat belts and the rear posts of most sedans

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27
Q

The detent pin is a.k.a. ___

A

Hinge

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28
Q

What is the detent pin?

A

A hardened steel pin that goes through the hinge

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29
Q

True or false…

Do not cut the detent pin with the cutters

A

True

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30
Q

Where should you put the spreader tips when it comes to the detent pin to open a door?

A

The center of the hinge

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31
Q

What are the eight steps for the extrication action plan?

A 
Parking and scene size up
Hazards and circle surveys
Vehicle stabilization
Initial and sustained patient access
Disentanglement
Patient packaging
Patient transport
Scene termination
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32
Q

How should you park and apparatus on a scene?

A

In a defensive upstream position

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33
Q

On scene, you should position your apparatus to ____ the scene and….

A

Block

Guide traffic around the incident

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34
Q

For vehicle extrication what are the three sectors listed on the PowerPoint?

A

Rescue/extrication
Hazards
Medical

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35
Q

For vehicle extrication, what are the three subcategories of the medical sector?

A

Triage
Treatment
Transport

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36
Q

What is a circle survey?

A

Involves someone walking in a large circle around the scene

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37
Q

What are the four things that hazard and circle surveys do?

A

Locate other patients
Locate other involved cars
Locate additional hazards
Ensure safety of inner circle team

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38
Q

What is the outer circle survey and who checks it?

A

Is the area around the entire scene

Rescuer 3

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39
Q

Water 7 hazards that you should control immediately?

A 
Fluid spills
Airbags
Loaded bumpers
Hatchbacks
Sharp metal
Electrical
Unstable vehicles
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40
Q

Once upon an extrication scene, establish ___ staging

A

Tool

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41
Q

What are the six things listed under inner circle survey?

A 
Close-up look at the crash
Initial patient contact
Identify patient condition
Identify degree of entrapment
To not touch car until safe
Initial scan for live airbags
42
Q

When checking for airbags what are the 4 things that you should do?

A

Scan vehicle for airbag IDs
Note loaded airbags
Inform rescuers of loaded airbags
Make airbag safe

43
Q

Since the use of supplemental restraint systems, traffic deaths have been ____ ____

A

Reduced drastically

44
Q

True or false…

Rescue workers have been injured from airbag deployments

A

True

45
Q

There have been ____ million airbags deployed from late 1980s to Sep. 1st 1998

A

2.6 million

46
Q

What is the airbag effectiveness for…

Car drivers
Car passengers
Light truck drivers

A

31% fatality reduction
27% fatality reduction
27% fatality reduction

47
Q

And airbag will activate only when the car…

A

When the car is involved in a crash severe enough to activate the sensing units

48
Q

How is an airbag activated?

A

Electrical charge is routed to the gas generator which ignites the fuel

49
Q

One and airbag is activated, the fuel creates a tremendous amount of ____ ____ filling the airbag

A

Inert gas

50
Q

An airbag should deploy within ___ seconds

A

.03 seconds

51
Q

Which are faster side airbags or frontal airbags?

A

Side airbags

52
Q

As of 9/1/98, how many total deaths have there been from airbags?

A

113

53
Q

What has been the leading factor in nearly every death when it comes to an airbag fatality?

A

Proximity to the airbag

54
Q

What are the two greatest issues involving deaths related to airbag deployment?

A

Improper use of seat belts

Infants riding in the front passenger seat

55
Q

How many deaths for…

Children in rear facing child safety
Children not in rear facing child safety
Adult drivers
Adult passengers

A

15
51 (3restrained but not properly)
42 (11 properly restrained)
5 |(2 restrained)

56
Q

What are SMART airbags?

A

They analyze the weight/pressure applied on the passenger seat

57
Q

Why are we worried about SMART airbags?

A

Firefighter kneeling on passenger seat for treatment can make SMART airbag live

58
Q

What are 2 new technology airbags that we should worry about?

A

SMART airbags

Knee airbags

59
Q

Where are side airbags located?

A

In seats or doors at arm rest level

60
Q

How do side impact curtain airbags inflate?

A

They inflate the entire length of the roof rail and extend downward to protect occupants

61
Q

When it comes to airbags, what does HPS stand for?

A

Head Protection System

62
Q

HPS airbags are _____ type airbags and are deployed in a similar fashion as ____ ____

A

Sausage

Impact curtains

63
Q

What are the strike zones from…

The top of the window
The steering wheel
The passenger side airbag

A

5 inches
10 inches
20 inches

64
Q

When it comes to airbag injuries, what does 00PS stand for?

A

Out Of Position Seating

65
Q

Airbags are designed to work in conjunction with what 2 things?

A

Seatbelt

The occupant sitting upright

66
Q

When it comes to airbag injuries where do airbag injuries come from?

A

People who try to brace for a collision

California style drivers

67
Q

What is the average temperature inside driver-side airbags?

A

1200°

Larger passenger bags can get up to 2400°

68
Q

A patient can get burned if the ____ are not in the ____ position

A

Burned

12 o’clock

69
Q

What can left over sodium azide residue due to a patient?

A

Get on skin and cause burning

70
Q

What should you do if a patient complains of burning skin or eyes?

A

Flush with copious amounts of water

71
Q

What can you do to contain airbag dust?

A

Wrap steering wheel in a garbage bag

72
Q

Why is vehicle stabilization important?

2 things

A

Patient safety, less cervical damage from rescuers moving vehicle during extrication
Safety for rescuers

73
Q

What are the 2 ways to stabilize a vehicle?

A

Remove air from tires

Cribbing

74
Q

What is cribbing?

A

Generally refers to the specially cut and/or assembled pieces of wood used to support raised objects, as ground pads or bases to place tools that are working, and as blocks over which chains and cables pass while moving objects

75
Q

Which TFD units carry cribbing?

A

All engines and LTs

76
Q

What does the new kit contain?

A

Four 2 x 4 x 24
Eight 4 x 4 x 24
Two step chucks

77
Q

Who has a building collapsed trailer that carries large amounts of wood that can be used for cribbing?

A

TRT

78
Q

What is initial patient access?

A

First physical contact with patient

79
Q

Initial patient access is usually accomplished through…

A

An open door or window

80
Q

With initial patient access what should you bring?

A

Necessary EMS equipment

81
Q

How is sustained patient access accomplished?

A

By entering the car after it is stabilized

82
Q

What does sustained patient access allow for?

A

More definitive care

83
Q

What are the 5 interior responsibilities?

A 
Rolldown windows
Turn off the ignition
Pass keys outside
Communicate with patient
Cover patient with hard and soft protection as needed
84
Q

What eight things are included in disentanglement/extrication?

A 
Patient access
Glass management
Purchase points
Flap roof
Force and remove doors
Relief cut in fender
Lower A post cut
Dash lift/push
85
Q

What are the 2 types of glass?

A

Laminated

Tempered

86
Q

All glass must be moved in a ____ manner

A

Controlled

87
Q

What are the 4 reasons why a roof flap should be done early?

A

Quick and easy
Allows for easier medical treatment
Conscious patient feels less trapped and as though progress is being made
Unibody structure is weakened

88
Q

What should you be mindful of when cutting posts?

A

Live airbag systems

89
Q

What is one option to use to stay away from pretension cylinders?

A

Using a pie cut high on B post

90
Q

What does peel and peak or strip and rip mean/

A

To remove moldings and visualize

91
Q

To remove a car door need to locate the ____ ___

A

Nader pin

92
Q

How do you force a door without tearing a lot of metal?

A

Start at the top of the door seem near the window and work down until spreader tips rest on top of nader pin

93
Q

If you have a live side airbag, you may consider…

A

Removing door from hinge side first

94
Q

Why do we do a front fender crush?

A

This gives a place for the dash to go for a dash roll

95
Q

What does a front fender crush actually do?

A

Creates a gap between the front fender and door so if the fender can be rolled ahead to expose the hinge post

96
Q

When rolling a dashboard where should you cut on the A post?

A

Make two cuts at bottom of the post

First cut should be below the bottom door hinge at rocker panel level

Makes second cut above the bottom door hinge

Create a U shaped channel with the spreaders by rolling the metal out to create an open space

Then spreaders should be at a 90° angle

97
Q

When using a RAM to roll the dash, the square end of the ram should be where?

A

At the bottom of the B post

98
Q

When using a ram to roll the dash, you can use the ____ as an improvised leverage point

A

Spreaders

99
Q

When rolling a dash you should never cut the ____ ____

A

Rocker channel

100
Q

What are the 7 things listed under safety for vehicle excavation?

A

Do not overreach or overextend yourself while holding the tool
Use proper lifting techniques when lifting up the tool and power units
Do not use the tool as a battering ram
When lifting with the tool always stabilize the load with cribbing
When cutting be careful for flying shrapnel
Never cut rear hatchback assemblies
If removing a roof with a rear hatch assembly, lift hatch first then cut posts leaving the hatch with the roof

TFD BC (26 decks)

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