Hyattsville Volunteer Fire Department
Post on 25-Feb-2016
DESCRIPTIONHyattsville Volunteer Fire Department. Basic Unified Extrication Guidelines. Definitions. Working Area/Hot Zone/Inner Circle- 10 ft. radius around vehicle - PowerPoint PPT Presentation
Hyattsville Volunteer Fire Department
Hyattsville Volunteer Fire DepartmentBasic Unified Extrication Guidelines
DefinitionsWorking Area/Hot Zone/Inner Circle- 10 ft. radius around vehicleA,B,C Posts, etc.- Vertical structural member of the vehicle connecting the roof to the vehicles body. Post designations are from the front of the vehicle to the rear, starting with the two posts that are connected to the front windshield and the roof (Driver side A-Post and Passenger Side A-PostSRS- Supplemental or Secondary Restraint SystemSIP- Side Impact ProtectionIC- Impact curtainautomobile manufacturers have adopted this icon to identify hidden side-impact curtains. This icon is usually at the outer edge of the interior roof liner trim.Pressurized Vessels- Piston Rods can be a component of the vehicles energy absorbing bumper and/or a unit that may serve as a hinge for a trunk or hood of a vehicle.Rescue Squad CrewOfficer - Directs ALL operations within Hot ZoneDriver - Responsible for Hot Zone logistics and all equipment to come off Rescue SquadSenior Squadsman Tool and Team Assignments, primary rescue toolSquadsman (1-5) Stabilization, vehicle prep, extrication
Engine CompanyOfficer Oversees squad company support functions (batteries, suppression efforts, initial patient care)Driver Water supply, charges hoselineLine Operates safety hoselineBack-up Vehicle battery, assists lineman, patient careHall/Layout Initial patient careBLS/PA CompaniesTech/Officer Primary Patient Care Provider (assesses patient, makes face to face with Hot Zone Supervisor)Driver Vehicle positioning, supports patient care3rd Assists techObserver Camerastays out of Hot Zone!General Scene SafetySpecific Considerations to take on any motor vehicle accident include:Other motoristsHazmatsPowerlinesTreesDitchesTrenchesBasic Vehicle Placement
Basic Fend Away Position blocking traffic from motor vehicle accidentDemonstrates location of other vehicles within incident perimeterResources Needed for Safe SceneGiven aforementioned considerations who or what might we need to request?Power CompanyGas CompanyHeavy WreckerCrane
PPEAll members operating within Hot Zone must be in full PPE and don safety glasses
Suppression crew must be prepared with SCBA as well
THIS INCLUDES EMS PERSONNEL!!!Your turnout gear should always be with you to begin with, and definitely donned for an extricationIncident Zones
Hot Zone Only authorized operational personnel enter, must be in required PPE
Warm Zone Companies serving in a support role are here. Hoseline, EMS (stretcher and backboard) prior to extrication completion
Cold Zone Vehicle staging, command post, patient care areaScene ControlRescue Squad OIC is responsible for extrication game planThat information needs to be conveyed to key players on scene for a smooth operationKey Players are: Command, Primary EMS Provider, Extrication Group Supervisor, Suppression Group Supervisor
How do we stabilize based on what we see?Where are the patients?What might we need here?The Rescue Squad OIC must have a steady stream of plans. As the scene evolves a continuous size-up must happen. A new size-up may reveal a need to change the plan.
Patient AssessmentOnce the scene is stabilized (including the vehicle) a patient assessment can take place.A C-Spine injury can be aggravated or worsened by slight movements in the vehicle.Suspension should be isolated before anyone enters the vehicle even to hold C-SpineStabilization
Patient Access should be limited until proper stabilizationEliminate Suspension TravelEnsures vehicle is 100% fixed in its locationMust be continuously reassessed as the vehicle is dismantled.Patient Assessment ContDone by first arriving personnel (triage all patients in vehicle)Ongoing, determine trauma status (GCS)Identify Mechanisms and Intrusions to the vehicle.
What did the vehicle hit, drive through, and where did it come to stop?
Where are the intrusions? Passenger compartment vs. front or rear impacts?Modern Vehicle Concerns
Alternative FuelsSymbols to Identify
Completion of ExtricationSquad crew removes any unnecessary equipment from the Hot ZoneEMS is primarily responsible for actual patient removal and should determine method or removal based on how squad left vehicleAssistance with victim should be requested immediately through squad officer