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Vehicle Extrication Flashcards

(100 cards)

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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
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
Center
26
What is the exception to the rule when it comes to posts having the center as it's weakest point?
B posts which may have reinforcing plates for seat belts and the rear posts of most sedans
27
The detent pin is a.k.a. ___
Hinge
28
What is the detent pin?
A hardened steel pin that goes through the hinge
29
True or false... Do not cut the detent pin with the cutters
True
30
Where should you put the spreader tips when it comes to the detent pin to open a door?
The center of the hinge
31
What are the eight steps for the extrication action plan?
``` Parking and scene size up Hazards and circle surveys Vehicle stabilization Initial and sustained patient access Disentanglement Patient packaging Patient transport Scene termination ```
32
How should you park and apparatus on a scene?
In a defensive upstream position
33
On scene, you should position your apparatus to ____ the scene and....
Block | Guide traffic around the incident
34
For vehicle extrication what are the three sectors listed on the PowerPoint?
Rescue/extrication Hazards Medical
35
For vehicle extrication, what are the three subcategories of the medical sector?
Triage Treatment Transport
36
What is a circle survey?
Involves someone walking in a large circle around the scene
37
What are the four things that hazard and circle surveys do?
Locate other patients Locate other involved cars Locate additional hazards Ensure safety of inner circle team
38
What is the outer circle survey and who checks it?
Is the area around the entire scene | Rescuer 3
39
Water 7 hazards that you should control immediately?
``` Fluid spills Airbags Loaded bumpers Hatchbacks Sharp metal Electrical Unstable vehicles ```
40
Once upon an extrication scene, establish ___ staging
Tool
41
What are the six things listed under inner circle survey?
``` 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
When checking for airbags what are the 4 things that you should do?
Scan vehicle for airbag IDs Note loaded airbags Inform rescuers of loaded airbags Make airbag safe
43
Since the use of supplemental restraint systems, traffic deaths have been ____ ____
Reduced drastically
44
True or false… Rescue workers have been injured from airbag deployments
True
45
There have been ____ million airbags deployed from late 1980s to Sep. 1st 1998
2.6 million
46
What is the airbag effectiveness for… Car drivers Car passengers Light truck drivers
31% fatality reduction 27% fatality reduction 27% fatality reduction
47
And airbag will activate only when the car…
When the car is involved in a crash severe enough to activate the sensing units
48
How is an airbag activated?
Electrical charge is routed to the gas generator which ignites the fuel
49
One and airbag is activated, the fuel creates a tremendous amount of ____ ____ filling the airbag
Inert gas
50
An airbag should deploy within ___ seconds
.03 seconds
51
Which are faster side airbags or frontal airbags?
Side airbags
52
As of 9/1/98, how many total deaths have there been from airbags?
113
53
What has been the leading factor in nearly every death when it comes to an airbag fatality?
Proximity to the airbag
54
What are the two greatest issues involving deaths related to airbag deployment?
Improper use of seat belts | Infants riding in the front passenger seat
55
How many deaths for… Children in rear facing child safety Children not in rear facing child safety Adult drivers Adult passengers
15 51 (3restrained but not properly) 42 (11 properly restrained) 5 |(2 restrained)
56
What are SMART airbags?
They analyze the weight/pressure applied on the passenger seat
57
Why are we worried about SMART airbags?
Firefighter kneeling on passenger seat for treatment can make SMART airbag live
58
What are 2 new technology airbags that we should worry about?
SMART airbags | Knee airbags
59
Where are side airbags located?
In seats or doors at arm rest level
60
How do side impact curtain airbags inflate?
They inflate the entire length of the roof rail and extend downward to protect occupants
61
When it comes to airbags, what does HPS stand for?
Head Protection System
62
HPS airbags are _____ type airbags and are deployed in a similar fashion as ____ ____
Sausage | Impact curtains
63
What are the strike zones from... The top of the window The steering wheel The passenger side airbag
5 inches 10 inches 20 inches
64
When it comes to airbag injuries, what does 00PS stand for?
Out Of Position Seating
65
Airbags are designed to work in conjunction with what 2 things?
Seatbelt | The occupant sitting upright
66
When it comes to airbag injuries where do airbag injuries come from?
People who try to brace for a collision | California style drivers
67
What is the average temperature inside driver-side airbags?
1200° Larger passenger bags can get up to 2400°
68
A patient can get burned if the ____ are not in the ____ position
Burned | 12 o'clock
69
What can left over sodium azide residue due to a patient?
Get on skin and cause burning
70
What should you do if a patient complains of burning skin or eyes?
Flush with copious amounts of water
71
What can you do to contain airbag dust?
Wrap steering wheel in a garbage bag
72
Why is vehicle stabilization important? 2 things
Patient safety, less cervical damage from rescuers moving vehicle during extrication Safety for rescuers
73
What are the 2 ways to stabilize a vehicle?
Remove air from tires | Cribbing
74
What is cribbing?
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
Which TFD units carry cribbing?
All engines and LTs
76
What does the new kit contain?
Four 2 x 4 x 24 Eight 4 x 4 x 24 Two step chucks
77
Who has a building collapsed trailer that carries large amounts of wood that can be used for cribbing?
TRT
78
What is initial patient access?
First physical contact with patient
79
Initial patient access is usually accomplished through...
An open door or window
80
With initial patient access what should you bring?
Necessary EMS equipment
81
How is sustained patient access accomplished?
By entering the car after it is stabilized
82
What does sustained patient access allow for?
More definitive care
83
What are the 5 interior responsibilities?
``` Rolldown windows Turn off the ignition Pass keys outside Communicate with patient Cover patient with hard and soft protection as needed ```
84
What eight things are included in disentanglement/extrication?
``` Patient access Glass management Purchase points Flap roof Force and remove doors Relief cut in fender Lower A post cut Dash lift/push ```
85
What are the 2 types of glass?
Laminated | Tempered
86
All glass must be moved in a ____ manner
Controlled
87
What are the 4 reasons why a roof flap should be done early?
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
What should you be mindful of when cutting posts?
Live airbag systems
89
What is one option to use to stay away from pretension cylinders?
Using a pie cut high on B post
90
What does peel and peak or strip and rip mean/
To remove moldings and visualize
91
To remove a car door need to locate the ____ ___
Nader pin
92
How do you force a door without tearing a lot of metal?
Start at the top of the door seem near the window and work down until spreader tips rest on top of nader pin
93
If you have a live side airbag, you may consider...
Removing door from hinge side first
94
Why do we do a front fender crush?
This gives a place for the dash to go for a dash roll
95
What does a front fender crush actually do?
Creates a gap between the front fender and door so if the fender can be rolled ahead to expose the hinge post
96
When rolling a dashboard where should you cut on the A post?
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
When using a RAM to roll the dash, the square end of the ram should be where?
At the bottom of the B post
98
When using a ram to roll the dash, you can use the ____ as an improvised leverage point
Spreaders
99
When rolling a dash you should never cut the ____ ____
Rocker channel
100
What are the 7 things listed under safety for vehicle excavation?
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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