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Vehicle Extrication more than fiightiing fiires Ch.25Ch.25 Extrication Vehicle . more than fiightiing fiires Ch.25Ch.25 Long Beach710 Video . more than fiightiing fiires Ch.25Ch.25 Rip and tear some cars. Anatomy ofanautomobile. Extrication in the S.H.A.D.E. Why wedowhat wedo. Rip and tear some cars. Anatomy ofanautomobile. Extrication in the S.H.A.D.E. Why wedowhat wedo. - - COURSE OUTLINE An AutoExtrication Overview. An AutoExtrication Overview. - - - - - - Stabilization. Glass Removal. Gaining Access. Stabilization. Glass Removal. Gaining Access. more than fiightiing fiires Ch.25Ch.25 states the2 main causesofvehicle The California HighwayPatrol accidents are… #2 CellPhones #1 Alcohol #2 CellPhones #1 Alcohol . more than fiightiing fiires Ch.25Ch.25 immediate needs andcondition immediate needs andcondition The The dictate themethod usedto dictate themethod usedto states thatthe patient’s states thatthe patient’s Golden Hour Golden Hour extricate himorher. extricate himorher. philosophy philosophy 60 Minutes (National Standard) Ch.25 Ch.25 5 10 30 5 10 Minutes Minutes Minutes Minutes Minutes Time of Time of Time of Time of Time incident to notification arrival to patient available notification to arrival of complete removal & for the first units extrication preparation transport of patients for transport to appropriate s s e e r r i i f f medical g g medical n n i i t t h h g g i i f f facility facility n n a a h h t t e e r r o o m m . The average time for Extrication has to be reduced to a more reasonable time of ten to fifteen minutes. Ch.25 Ch.25 ThisThis GOALGOAL isisis realisticrealisticrealistic andandand cancancan bebe safelysafely metmet byby intensive,intensive, uniformuniform trainingtraining andand byby obtainingobtaining upupup-to-date--toto--datedate knowledgeknowledge ofof todaytodaytoday’s’’ss domesticdomestic carscars andand theirtheir potentialpotential problems.problems. 60 Minutes 5 10 30 5 10 Minutes Minutes Minutes Minutes Minutes s s e e r r Time of Time of Time of Time of Time available i i Time of Time of Time of Time of Time available f f g g n n i i t t incident to notification arrival to patient for transport h incident to notification arrival to patient for transport h g g i i f f n n a a notification to arrival of complete removal and to appropriate h h t t e e r r o o the first units extrication preparation medical m m . of patients for transport facility 60 Minutes (With National Average Extrication Time) Ch.25 Ch.25 5 10 15 5 25 Minutes Minutes Minutes Minutes Minutes Time of Time of Time of Time of Time incident to notification arrival to patient available for notification to arrival of complete removal and transport to the first extrication preparation appropriate units of patients for transport medical facility s s e e r r i i f f g g n n i i t t h h g g i i f f n n a a h h t t e e r r o o m m . more than fiightiing fiires Ch.25Ch.25 most ofthetime consumedinthe National Studies haveshownthat most ofthetime consumedinthe National Studies haveshownthat increase timefortransport which increase timefortransport which appropriate medical centers.By appropriate medical centers.By in turn increases thepatience’s in turn increases thepatience’s mastering ourprofession we mastering ourprofession we Golden Hour Golden Hour is duetolong transport times between transport times between chances of survival. chances of survival. is duetolong . more than fiightiing fiires Ch.25Ch.25 By implementing a Team Approach! By implementing a Team Approach! How dowe do this? . more than fiightiing fiires Ch.25Ch.25 This isdone bytalking about whatyou are This isdone bytalking about whatyou are The TEAMAPPROACH meansthatthe The TEAMAPPROACH meansthatthe team pre team pre THE TEAM APPROACH as aunitandpre as aunit andpre trying to follow your plan onthe street. going todo, trying to follow your plan onthe street. going todo, - - plans itsmoves, trainstogether plans itsmoves, trainstogether whenever possible. whenever possible. before you do it before you do it - - assigns jobfunctions assigns jobfunctions , and then , and then . more than fiightiing fiires Ch.25Ch.25 … … … … … … … … … … The TeamApproach is the way theinstructor taughtme. the way the Captainwould doit. nor isitintended to beacomprehensive set instone. intended tobea rigid plan. the way theinstructor taughtme. the way the Captainwould doit. nor isitintended to beacomprehensive set instone. intended tobea rigid plan. conceivable situation. set ofactions thatattempt toaddressevery conceivable situation. set ofactions thatattempt toaddressevery NOT . more than fiightiing fiires Ch.25Ch.25 … … … … … … … … … … communicated communicated well and most ofall creative. flexible. simply awaytoorganize inadvance and most ofall creative. flexible. simply awaytoorganize inadvance well the tasksthatyou expecttoperform. the tasksthatyou expecttoperform. The TeamApproach … … !!! !!! is . more than fiightiing fiires Ch.25Ch.25 wasted time. This willhelp reducewasted effort and technique for eachgiven jobto beperformed. Immediately usingthemost fail variables fromeach situationaspossible. essential tolearn toremoveasmany When pre wasted time. This willhelp reducewasted effort and technique for eachgiven jobto beperformed. Immediately usingthemost fail variables fromeach situationaspossible. essential tolearn toremoveasmany When pre How? How? - - planning forextrication, itis planning forextrication, itis Approach Team - - safe safe Video HalmatroHalmatro 11 . more than fiightiing fiires Ch.25Ch.25 REMEMBER… cases in order tosavetime. Use the techniques thatwork bestin technique weuse againstastandardof100%. 100% effective.We shouldjudgethe There isnosuch thing asatechniquethatis cases in order tosavetime. Use the techniques thatwork bestin technique weuse againstastandardof100%. 100% effective.We shouldjudgethe There isnosuch thing asatechniquethatis most most . more than fiightiing fiires Ch.25Ch.25 We asrescuersminimize ourownriskby We asrescuersminimize ourownriskby wearing full protectiveclothing wearing full protectiveclothing Vehicle Extrication isDangerous … … At thispointitisimportant tostatethat: by being well trained. by being well trained. AND AND . more than fiightiing fiires Ch.25Ch.25 P.P.E. Consists of: jacket. Helmet. protection Optional: Hearing extrication gloves. All leather glovesor Turn Turn Eye Protection. jacket. Helmet. protection Optional: Hearing extrication gloves. All leather glovesor Turn Turn Eye Protection. - - - - out pants. out jacket/Brush out pants. out jacket/Brush . more than fiightiing fiires Ch.25Ch.25 We minimizerisk toourpatientsbyextricating We minimizerisk toourpatientsbyextricating in acontrolled mannerand withoutcreating in acontrolled mannerand withoutcreating Vehicle Extrication is Vehicle Extrication is any more significantdamage. any more significantdamage. Dangerous Dangerous . more than fiightiing fiires Ch.25Ch.25 S.H.A.D.E. isan S.H.A.D.E. isan assist you with assist you with Extrication in theS.H.A.D.E. acronym to extrication. acronym to extrication. better control the better control the environment to environment to S.H.A.D.E. you S.H.A.D.E. you By applying By applying will create an will create an scene scene . more than fiightiing fiires Ch.25Ch.25 S.H.A.D.E Safety Management Scene Stabilization Size Safety Management Scene Stabilization Size – – up up . more than fiightiing fiires Ch.25Ch.25 S S incoming units best egress toother Relay exact location& Continues Begins withdispatch following determine the Once onscene, incoming units best egress toother Relay exact location& Continues Begins withdispatch following determine the Once onscene, … … enroute enroute Size -up Size -up . more than fiightiing fiires Ch.25Ch.25 Determine the 2. 1. 6. 5. 4. 3. Size – up… 2. 1. 6. 5. 4. 3. Determine the b. a. b. a. Continually re Hazards present Resources Level ofentrapment Severity oftheinjuries Number ofpatients Continually re Hazards present Resources Level ofentrapment Severity oftheinjuries Number ofpatients Is anything elseneeded?Apply the5W What is Is anything elseneeded?Apply the5W What is enroute enroute … … – – What ison What ison - - evaluate incident status evaluate incident status ? ? - - scene? scene? ’ ’ s s . more than fiightiing fiires Ch.25Ch.25 S Consider cribbing, come Orientation of area ofcontactbetween the Involves increasing thenumber,sizeandtotal itself, airbags, highlift jacks,etc ground/pavement. stabilization needs. Consider cribbing, come Orientation of area ofcontactbetween the Involves increasing thenumber,sizeandtotal itself, airbags, highlift jacks,etc ground/pavement. stabilization needs. Stabilization vehicle(s vehicle(s ) willdetermine ) willdetermine - - a a - - long, thevehicle long, thevehicle vehicle(s vehicle(s … … ) andthe ) andthe . more than fiightiing fiires Ch.25Ch.25 S Scene Management Cold Zone Warm Zone Hot Zone Interior Zone Cold Zone Warm Zone Hot Zone Interior Zone . more than fiightiing fiires Ch.25Ch.25 S Interior Zone Interior Zone treatment. necessary forpatient careand Includes personneland equipment Activities insidethevehicle. treatment. necessary forpatient careand Includes personneland equipment Activities insidethevehicle. Scene Management … … . more than fiightiing fiires Ch.25Ch.25 S Hot Zone Hot Zone this perimeter. extrication operationsshould beinside directly involved inpatient careor worked on, onlythose personnel Immediately adjacent tovehiclesbeing this perimeter. extrication operationsshould
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