Chapter 30

Question 1

Explain the Platinum Ten concept

Answer 1

In order to enhance the Golden Hour

- Remove Patient from vehicle/entanglement and be enroute to a trauma centre within 10 minutes of our arrival on scene

Question 2

List the practical Applications of ParaTech

Answer 2

Trench Rescue
Building Collapse
Vehicle stabilization
Lifting

Question 3

List the Types of Collisions

Answer 3

Head on
T-Bone
Rear-End
Rotational
Roll Over

Question 4

Safety can be divided into which categories of priority

Answer 4

Rescue Personnel Safety
Scene Safety
Patient Safety

Question 5

What must take place during the Golden Hour?

Answer 5

Notification
Dispatch
Response
Scene Stabilization
Vehicle Stabilization
Patient Extrication
Patient Packaging 
Patient Transport 
Stabilization in the Emergency Room 
Surgical Intervention

Question 6

What are the two types of glass found in automobiles?

Answer 6

Safety Glass

Tempered Glass

Question 7

Explain the 5-10-20 Rule

Answer 7

Rescuers must stay
5” away from Side air bags
10” away from driver air bag
20” away from passenger air bags

Question 8

What are the Hybrid vehicle Emergency Procedures

Answer 8

Hybrid vehicle identification
Vehicle stabilization
Access to passenger compartment
Turn key to OFF position and remove from ignition
Check that the Green light goes out
Disconnect the 12v battery

Question 9

What are the rules of thumb for wooden cribbing

Answer 9

Finished height cannot be > 3x working length of the timbers
Flat level base
Crib as you go
Do not place body part between crib and vehicle

Question 10

What belongs in the cold zone?

Answer 10

All other operations established here:
Fire Command
Tool staging
Personnel Staging
Apparatus placement

-General public kept outside the cold zone

Question 11

Define the Hot zone

Answer 11

Location where the extrication is taking place and the hazards exist

Question 12

Whats should be placed in the warm zone?

Answer 12

Hydraulic pumps
essential tools
Parts removed from vehicles
Charged handline

Question 13

How big is the Outer circle?

Answer 13

3-5m in diameter around the inner circle.

Influenced by topography and traffic hazards

Question 14

What factors influence Inner Circle size?

Answer 14

Number of patients
Degree of entrapment/ extrication needs
Number, conditon and size of vehicles
Other hazardous conditions

Question 15

What is looked for within the Outer circle

Answer 15

Hazards
Victims
Other potential problems
They can/Should also question bystanders

Question 16

What questions should be asked during a size up?

Answer 16

What HAS happened
What IS happening
What RESOURCES are needed
What is LIKELY to happen
What HAZARDS need to be mitigated

Question 17

List the components of Rescue Personnel Safety

Answer 17

Position responding unit in a manner to protect the crew from traffic
Always wear full PPE
Eye protection
Gloves
Fire helmet
Traffic safety vest
Full Duty gear

Question 18

List the components of Scene Safety

Answer 18

Hazard controls (fluids, Elec, weather etc)
Have handline at the ready
Have fire extinguisher ready
Traffic control
Crowd control
Control of other agencies (police, ems, epcor)

Question 19

What needs to be assessed in the size up?

Answer 19

Number and condition of vehicles
number of patients
extrication needs
Hazardous conditions

Question 20

List the types of framework

Answer 20

Uni-body
Full Frame
Space Frame

Question 21

What are the Three Compartments in a vehicle

Answer 21

Engine Compartment
Passenger Compartment
Storage/Cargo Compartment

Question 22

List the steps of scene management

Answer 22

Arrival
- Establish command
- Initial scene overview
Size up
- Inner/outer circle
Incident Action Plan
- Establish zones(Hot/war/cold/tool staging)
-Initiate Extrication

Question 23

Define Displacement

Answer 23

Re aligning, adjustment or re-positioning of existing major parts

Question 24

Disentanglement can include what operations?

Answer 24

Displacement
Distortion
Severance
Disassembly

Question 25

Explain Distortion

Answer 25

The bending of the sheet metal or any components of the vehicle

Question 26

Explain Disassembly

Answer 26

As defined, it is the physical act of taking apart vehicle components

Question 27

Explain Severance

Answer 27

The physical act of removing parts of the vehicle

Question 28

Why should air be left in the tires?

Answer 28

EPS Investigations of tire pressures | Towing

Question 29

List the types of tools used in Extrication

Answer 29

``` Striking tools Prying Tools Cutting Tools Pushing/Pulling Tools Supporting Tools ```

Question 30

Tools can be powered by any of which methods?

Answer 30

``` Manual Electrical Pneumatic Hydraulic Gas-powered ```

Question 31

List the types of Striking Tools

Answer 31

``` Sledge Hammers Mauls, Picks Axes, mallets Hammers Punches Chisels ```

Question 32

List the types of Prying tools

Answer 32

``` Crow bar Halagen Pry Bar Claw tool Pry axe Flat bar ```

Question 33

List the types of cutting tools

Answer 33

Chopping tools Snipping tools Saws Knives

Question 34

List the types of Pushing/Pulling tools

Answer 34

``` Jack all Rescue winch Air lifting bags Holmatro - spreaders -ram -combi tool ```

Question 35

List the types of Supporting tools

Answer 35

``` Air struts Wood cribbing Step Chucks Wedges Chains Ropes Webbing Anchor slings Jack All come-along ```

Question 36

What are the principle parts of the air strut

Answer 36

``` The piston The barrel Collar Base plate Tip Valve ```

Question 37

What are Rescue Incidents

Answer 37

Involve the removal and treatment of victims from situations involving natural elements, structural collapse, elevation differences, or any other situation not considered to be an extrication incident

Question 38

What are Extrication incidents

Answer 38

Involve the removal and treatment of victims who are trapped by some type of man-made machinery or equipment

Question 39

What factors should be noted upon arrival/approach

Answer 39

Potential traffic hazards Numbers, types, and positions of vehicles involved Fire potential and possibility of hazardous material involvement Utilities involved Need for additional resources Priority to position initial responding unit to protect the scene and responders so assessment and assistance can be initiated

Question 40

List the components of Patient Safety

Answer 40

Protect the patient from further harm by stabilizing the scene, and vehicles involved cover the patient as needed Someone should stay with the patient because of all the noise of extrication ( hearing protection may be offered if feasible) Being covered will only add to the stress of the patient. Provide the patient with comfort and perform a complete primary survey