Download to read offline
More Related Content
Similar to Crash Vehicle Emergency Rescue Slideshow.ppt
Crash Vehicle Emergency Rescue Slideshow.ppt
- 1. Barry Kidd 20101 Vehicle Extrication
- 2. Barry Kidd 20102 Overview What is Vehicle Extrication? • EMR’s role in extrication • The different groups involved in vehicle extrication • Hazards involved in extrication • Types of extrication • Airbags
- 3. Barry Kidd 20103 Vehicle Extrication The process of removing patient(s) from a vehicle who have been involved in an accident
- 4. Barry Kidd 20104 Vehicle Extrication Why is vehicle extrication an important skill? Since NO TWO accidents are the same, it is important to possess the knowledge required to extricate patients quickly and safely
- 5. Barry Kidd 20105 Vehicle Extrication Remember… The important thing when approaching a motor vehicle crash (MVC) is: DO NOT put yourself in a position where you can be injured!! PERSONAL SAFETY!!
- 6. Barry Kidd 20106 Role of the Emergency Medical Responder Remember, use what resources are available to you! If you are alone on scene, your FIRST PRIORITY is you and your patients safety!!
- 7. Barry Kidd 20107 Role of the Emergency Medical Responder Once scene safety has been determined, several things must be accomplished: Assess Scene Assess Vehicle Damage Attempt to gain access to patient Provide treatment to patient Control Scene
- 8. Barry Kidd 20108 Assess Scene Ensure scene safety!! Determine mechanism of injury Determine number of patients involved Is there a need for additional resources: Additional ambulances Fire Department Police
- 9. Barry Kidd 20109 Assess Vehicle Damage Damage to the vehicle, is an effective to determine what injuries a patient may have received. For example, if most of the damage is to the driver’s side door, what injuries will the patient likely have? Fractured Pelvis Fractured Ribs Spinal Injuries Extremity Injuries Assessing vehicle damage is especially important, if the patient is unconscious or you have a small child who is unable to communicate
- 10. Barry Kidd 201010 Assess Vehicle Damage
- 11. Barry Kidd 201011 Attempt to Gain Access to Patient Vehicles which are involved in Motor Vehicle Crashes (MVC), may be in any position. Before trying to access any patients, ensure the vehicle is stable, and there are no dangerous fluids leaking If any dangers are present, WAIT for the fire department to arrive!
- 12. Barry Kidd 201012 Attempt to Gain Access to Patient
- 13. Barry Kidd 201013 Attempt to Gain Access to Patient If the vehicle is safe, try to reach the patient(s) via simple access Open car doors, it is important to try all doors!
- 14. Barry Kidd 201014 Attempt to Gain Access to Patient Enter through windows. Make sure to clear away all glass from the frame before entering the vehicle!
- 15. Barry Kidd 201015 Provide Treatment to Patient Once you have gained access to the patient, the first thing you should do is CONTROL C-SPINE
- 16. Barry Kidd 201016 Control Scene If you are unable to gain access to the patient, or there is more then two EMRs on scene, it is your responsibility to ensure the scene around the vehicle is safe for the patient
- 17. Barry Kidd 201017 Groups Involved in Vehicle Extrication Police, Fire (EMO), and Ambulance work together to control the scene, extricate the patient, and provide appropriate emergency care
- 18. Barry Kidd 201018 Hazards Involved in Extrication The following list of hazards are important to be aware of, when dealing with a motor vehicle crash (MVC): Vehicle Traffic Weather Other (H.O.M.E.)
- 19. Barry Kidd 201019 Vehicle Hazards Several hazards can originate from the vehicle while assessing the scene you need to watch for: Leaking fluids - Battery Acid, Gasoline Unstable vehicle Charged Bumper – difficult to determine, avoid working near bumpers if possible
- 20. Barry Kidd 201020 Traffic Hazards If a Motor Vehicle Crash (MVC) occurs on a highway or any other busy road, it is important to remain as visible as possible. Wear bright clothing to increase your chances of being seen!
- 21. Barry Kidd 201021 Weather Hazards Extremes in weather can pose a serious threat to both the EMR and the patient. Exposure to heat or cold can be a serious threat. Attempt to keep the patient and yourself as warm or cool as possible
- 22. Barry Kidd 201022 Other Hazards Structures such as power lines, gas lines etc. that have been struck by a vehicle can pose a threat to the EMR and the patient. NEVER approach a vehicle that may be in contact with a downed line!!
- 23. Barry Kidd 201023 Types of Extrication Types of extrication are dictated mostly by either the condition of the patient, or the condition of the vehicle. There are generally two types of extrication used in the pre-hospital setting: Kendrick Extrication Device (KED) Rapid Extrication
- 24. Barry Kidd 201024 Kendrick Extrication Device (KED) One of the most under used pieces of spinal equipment. All EMRs are trained to use the KED and it is important be well practiced and familiar with this device
- 25. Barry Kidd 201025 Rapid Extrication
- 26. Barry Kidd 201026 Rapid Extrication First Step: Maintain manual C-spine Second Step: Move patient into a neutral, in-line position Third Step: Measure and apply C-collar
- 27. Barry Kidd 201027 Rapid Extrication Fourth Step: Place spine board under patient as far as possible Fifth Step: Move patient on to spine board Sixth Step: Maintain C-spine throughout the process
- 28. Barry Kidd 201028 Airbags Typically vehicles have three sensors that detect rapid deceleration during a collision. At least two out of three sensors must be activated for the airbag to deploy
- 29. Barry Kidd 201029 Airbags EMRs and other EMS practitioners need to be aware of: If there is significant damage to the front end of the vehicle, and the airbag has not deployed, NEVER position yourself between the steering column and the patient Serious injury or DEATH can occur if struck by an airbag
- 30. Barry Kidd 201030 Airbags Did you know… Many newer vehicles may have up to 10 airbags! An airbag can generate enough force to propel a 200 pound person six feet off the ground! Airbags deploy at a speed of 200 mph or 320km/hr!
- 31.
- 32. Barry Kidd 201032 Airbags
- 33. Barry Kidd 201033 Airbags
- 34. Barry Kidd 201034 Conclusion What is Vehicle Extrication? What is an EMRs role in extrication? What are the different groups involved in vehicle extrication? What are the hazards involved in extrication? What are the two types of extrication? What are airbags?
- 35. Barry Kidd 201035 ANY QUESTIONS?