360
Windshield assessment
What is done as the first part of a 360/scene size-up
We need to make sure we do a thorough scene assessment to sure we don't
Miss locating all patients
To stabilize an upright vehicle we use
Chock the wheels and the vehicle frame
Explain "Rip and Blitz"
Establish C-spine
switch off ignition
Use spreaders to pop doors if needed
Cut the roof off
Jack the dash if needed
Disconnecting the car battery is done by
Cutting a section out of the Negative cable then cut a section out of the positive cable
Things I am looking for during the 360
What are downed power lines, leaking fuel, smoke, fire, glass other sharp edges
what do we need to check when looking at accessing our patient
Simple access or Complex access
Equipment used for stabilization
Air bags, Come Along, Cribbing,
Hydraulic Ram, Cutter and Spreader
Jack
Step Chock or Wedge
Winch
The point of "Rip and Blitz"
Cut the vehicle from around the patient
We need to check all compartments in a car because of
Possible victims in trunks or children under seats
During a 360 we should indentify
Trapped or ejected patients and potential mechanisms of injury
How do I manage a possible spine injury before I make access to the patient
Tell them to look straight ahead and not move their head or neck
vehicle on its side is stabilized using
a stabilizing pole, cable, rescue struts
Popping a door on a car is done by
Using spreaders to pry on the B side at the latch
When making residential access we must first
Check for open windows or doors
Try before you Pry
We should wear ____________ while on a roadway scene
ANSI/ISEA 107/2004 Class3 or Class 3 approved high-vis vest or ANSI/ISEA 107-2006 Public Safety Vest
What do we do before getting out the extrication tools
Try before you pry
Vehicle on its roof is stailized by
Filling the voids under the trunk or hood wwhere needed
To cut the windshield we need to use a
Sawzall or glass cutting saw
the easiest and least costly way to make access to a house
Is breaking a window or pane in a door close to the lock
Hazard of undeployed safety devices
Air bag going off while assessing the patient
if I have a complex access I may need to gain initial access through the window by
Breaking glass
Removing the air from the tires for stabilization can be done by
Removing the stems or using a tool to deflate the tires
Jacking the dash is also called
Dash Roll
Cut is made in the rocker panel then use spreaders or ram to lift the dash off the patient
Once the patient can be removed from the vehicle we would use
Immobilization device such as a backboard to remove the patient
A part of the car that can be compressed in an accident and suddenly release causing injury
Energy Absorbing bumpers
Done for the patient before we break glass or pry doors open
Cover with a blanket or sheet
To keep a vehicle on its roof from rolling over we must
Place stabilization on both sides
Disentanglement has to be done when
Foot stuck under a pedal
Trapped by steering wheel
Trapped by the seat or other part of the car
We may need to remove seats, use seat belts to pull brake pedals
During extrication we need to deal with our patient by
Build a raport, let them know what is going on, keep them calm and continue our assessment as we can make access to areas.