Scene Management
(S-S-SAGE)
(S-S-SAGE)
"S" stands for (step one)
What is Stabilize the Scene
This is one rule we always use before breaking glass/damaging the vehicle
Try before you pry (ie check to see if the door is unlocked)
This person is responsible for the overall care of the scene. They support the operation by acquiring and deploying resources.
Who is the Incident Commander
This is what we YELL before breaking any glass
What is "BREAKING GLASS"
This is the application of equipment and techniques designed to stop the vehicles from moving in any direction further securing the scene for rescuers and the patients.
What is stabilization
"S" stands for (step 2)
What is Stage the Tools
This device (which comes in a variety of shapes and sizes) can be used with cribbing to lift and extricate patients who are trapped under vehicles/buses etc. Always capture your progress with cribbing.
What are Airbags
This optional role is responsible for planning, directing, and redirecting extrication efforts on scene. They remain off tools and focused on the overall picture and safety of members and occupants.
What is the Rescue Team Lead
This is the required PPE when creating glass dust
What is eye protection (safety goggles) and respiratory protection (N95 mask)
This type of glass undergoes a heat treatment process and is designed to shatter in many small pieces (commonly found in side and rear windows of vehicles)
What is tempered glass
"A" stands for
What is Access the Patient
These are the two categories of extrication
What are controlled release (no immediate threat to life) and rapid release (life or limb injury, no time to waste)
When initially tasked, this person should grab everything you anticipate needing (struts, cribbing, chocks). Once you have performed 4-point _______, report to IC or Rescue Team Lead. You may be re-tasked partway through extrication as parts of the vehicle can shift or reduce the balance and weight of the vehicles.
What is Stabilization
This is the order you should remove glass in relation to the occupants
What is farthest from the occupant to closest to the occupant
This type of glass is layered with plastic adhesive to provide strength and increased resistance
What is Laminated Glass
"G" stands for
What is Glass Management
This is one important step that must be taken when extricating on electric and hybrid vehicles especially
What is shut off and power down the system
This position is responsible for accessing the patient (when it is safe to do so). Tasks include powering down the vehicle, applying emergency brake, placing manual transmission in gear, turning off ignition, return keys to IC, check status of high voltage systems, and patient assessment. They provide an update on patient condition to IC/Team Lead on how expedited the extrication should be. They provide ongoing care and have the responsibility to STOP the extrication at any time of it starts to compromise patient safety.
Who is Interior Rescuer/Medic
You should do this with any glass that will have force applied to it
What is remove it
This is a 5-15 foot area surrounding the vehicle. Look for hazards, number of occupants, degree of entrapment, status of airbags, structure/framework of vehicle. If two vehicles are involved, two of these areas can be established.
What is the Inner Circle.
"E" Stands for
What is Extricate the Patient
What are 5 inches (side curtain), 10 inches (driver side), and 20 inches (passenger side)
When tasked, you should initially pull and stage necessary tools for extrication (cutters, spreaders, etc) ensuring pumps are on & running, hoses are connected, and tools are functioning. You can then deploy smaller hand tools at staging area as needed. Once your task has been completed, return the tool to staging area and go "task complete, hands free,"
When breaking glass, occupants should have this (in addition to their own respiratory and eye protection) to add additional protection from glass particles (two things)
What is soft and hard protection
This is the larger 360 degree area around the center of the incident or crash. The area can be 25, 50 or more than 100 feet in diameter. Complete a size up of this area to look for hazards and ejected victims. Make note of vehicle details and hazardous materials.
What is the Outer Circle