Rescue Incident vs Extrication Incident
Rescue:think of being stuck in your environment: natural elements, structural collapse, elevation diff.
Extrication: vics stuck in man made machinery or equipment
10 steps of the Golden Hour
NDRS V PPP SS
Notification Dispatch Response Scene Stabilization vehicle STABILIZATION Patient EXTRICATION Patient Packaging Patent Transport Stabilization in RE Surgical intervention
Platinum 10
Pt. should be removed from vehicle/entanglement and en-route to Trauma Center with in 10min of our arrival on scene
Safety Priorities
Rescuer safety
Scene Safety
Pt. Safety
Inner and Outer Circle
Inner: depends on how many vehicles, Pt’s, extrication needs, Hazards : only have essential tools and rescuers in this zone
outer circle: 3 to 5 m around inner circle: do a sweep for hazards, Pt’s question bystanders
3 zones of the Incident action plan
Hot Zone: where the extrication is taking place
Warm zone: placement of essential tools, equipment, and hand line.
Cold zone: equipment and personnel staging
8 sides of a Vehicle
Drivers side Passenger side Front Rear Roof Under carriage Inside Outside
posts/pillars
run A,B,C from front to back
5 types of Collions
Head on T bone Rear end rollover Rotational
3 types of frame work
Uni body
Full Frame
Space Frame
3 compartments
Engine
Passenger
cargo
5-10-20 rule
5” from sides
10” from drives side/steering-wheel
20” from passanger side dash
air bags deploy at
325km/h
when D/C a battery
negative first
4 methods of Disentanglement
DDDS
Distortion
Disassembly
Displacement
Severance
Horizontal and vertical stabilization
Horizontal: e brake, wheel chocks, put vehicle in park/in-gear and use cribbing
Vert: jacks, ropes,webbing,chains,
wood cribbing
can go 3x working length
must have overhang equal to dimension of lumber
a 4x4 intersection will support 6000lbs
2 types of glass
Safety: windshield
Tempered:most side and rear windows
when you approach a car from front or rear do so at a 45’ angle because
bumper struts can go 30m or 100’ when they blow
Spreaders
863mm range
220kn or 49 500 lbs of force
Extension ram
457mm(45.7cm) 1524mm (152.4cm)
100,000 lbs of force
Air chisle
100-150 psi
bottle will last 4 to 5 min
4 types of cutting tools
Chopping: axe
Snipping: shears, tin snips
Sawing: hack saw
knives
