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Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
Chapter 16 rescue procedures 6 07
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Chapter 16 rescue procedures 6 07

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  • Just to let you all know that is me on the cover of Chapter 16.
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  • 1. Rescue Procedures CHAPTER 16
  • 2. Objectives (1 of 2) <ul><li>Recognize the hazards associated with various rescue operations. </li></ul><ul><li>Describe the differences between primary and secondary searches. </li></ul><ul><li>Identify the need for rapid intervention teams. </li></ul><ul><li>Demonstrate the proper procedures for victim drags and carries. </li></ul><ul><li>Define proper terminology utilized during motor vehicle extrication operations. </li></ul>
  • 3. Objectives (2 of 2) <ul><li>Demonstrate proper and safe operation of vehicle extrication tools and equipment. </li></ul><ul><li>Explain the various types of specialized rescue situations presented and the hazards associated with them. </li></ul><ul><li>Identify specialized equipment used during technical rescue operations. </li></ul>
  • 4. Introduction <ul><li>Rescues are defined as actions that trained firefighters perform at emergency scenes to remove someone from immediate danger, or to extricate them if they are already trapped. </li></ul><ul><li>This lesson is designed to provide an awareness level of rescue situations. </li></ul><ul><li>Teamwork and safety are the key points to remember. </li></ul>
  • 5. Hazards Associated with Rescue Operations <ul><li>Every rescue operation has hazards. </li></ul><ul><li>Tunnel vision is a big hazard. </li></ul><ul><ul><li>It is easy to get tunnel vision in a complex and lengthy rescue. </li></ul></ul><ul><ul><li>Tunnel vision can keep rescuers from seeing obvious solutions and impending danger. </li></ul></ul>
  • 6. Search of Burning Structures (1 of 3) <ul><li>This is one of the most dangerous rescue situations. </li></ul><ul><li>Training, practicing, and planning are the best ways to reduce danger. </li></ul><ul><li>Always enter in teams of two or more. </li></ul><ul><li>Two firefighters in full gear and a charged line should be ready to go in, if needed. </li></ul><ul><ul><li>Known as two-in/two-out rule </li></ul></ul>
  • 7. Search of Burning Structures (2 of 3) <ul><li>Perform a quick survey of structure and surroundings. </li></ul><ul><li>Always carry a tool, flashlight, and radio when searching. </li></ul><ul><li>Thermal imagers may help “see” through smoke. </li></ul><ul><li>Search single-family structures using wall as reference. </li></ul><ul><ul><li>Known as “right-handed” or “left-handed” search </li></ul></ul>
  • 8. Search of Burning Structures (3 of 3) <ul><li>Commercial or industrial structures require use of lifeline or guideline. </li></ul><ul><li>There are two operations to searching a building. </li></ul><ul><ul><li>Primary search </li></ul></ul><ul><ul><li>Secondary search </li></ul></ul>
  • 9. Search Team
  • 10. Rapid Intervention Team Standing By
  • 11. Survey Structure Prior to Entering
  • 12. Searching a Residential Occupancy
  • 13. Commercial Occupancies
  • 14.  
  • 15.  
  • 16. SEARCHING A ROOM WITH 2 PEOPLE <ul><li>One person is the point of reference. </li></ul><ul><li>Search around and behind furnishings. </li></ul><ul><li>Use tools and body to probe for victims. </li></ul><ul><li>Leave the way you came in. </li></ul><ul><li>Mark the searched area. </li></ul>
  • 17.  
  • 18.  
  • 19. Primary Search <ul><li>First and most dangerous of the two </li></ul><ul><li>Search team often ahead of attack lines </li></ul><ul><li>Often above the fire </li></ul><ul><li>Window searches may speed process </li></ul><ul><li>Rapid, but thorough, search </li></ul><ul><li>All clear may change fireground operations focus </li></ul>
  • 20. Secondary Search <ul><li>Conducted after fire is out or well under control </li></ul><ul><li>A more thorough search </li></ul><ul><li>May find areas that still need to be extinguished </li></ul>
  • 21. Victim Removal, Drags, and Carries <ul><li>Victims must be removed carefully and expeditiously. </li></ul><ul><li>Try to not cause further injury or aggravate existing injury. </li></ul><ul><li>You may not be able to give care due to hazardous or hostile environment. </li></ul><ul><li>Use “tight core” to create power and reduce injury. </li></ul>
  • 22. Firefighter’s Carry
  • 23. Extremity Carry
  • 24. Seat Carry
  • 25. Blanket Drag
  • 26. Clothing Drag
  • 27. Webbing Sling Drag
  • 28. Sit and Drag
  • 29. Firefighter’s Drag
  • 30. Rescue of a Firefighter Wearing SCBA
  • 31. Placing a Patient on a Backboard
  • 32. Placing a Patient on an Ambulance Cot
  • 33. Extrication From Motor Vehicle <ul><li>Motor vehicle crashes are common rescue situations. </li></ul><ul><li>Knowledge, experience, and skill are most valuable tools. </li></ul><ul><li>Extrication means to free, release, or disentangle a patient from entrapment. </li></ul><ul><li>Operations may be simple or complex. </li></ul><ul><li>Operations at an extrication incident should follow a pre-determined sequence of events. </li></ul>
  • 34. Incident Action Plan <ul><li>Scene assessment </li></ul><ul><li>Establishing work areas </li></ul><ul><li>Vehicle stabilization </li></ul><ul><li>Patient access </li></ul><ul><li>Disentanglement </li></ul><ul><li>Patient removal </li></ul><ul><li>Scene stabilization </li></ul>
  • 35. Extrication Tools (1 of 3) <ul><li>They range from basic to specialized tools. </li></ul><ul><li>Hydraulic tools are operated by gasoline engine, electric motor, or air-driven motor. </li></ul><ul><li>Spreaders are used to push and pull. </li></ul><ul><li>Cutters are used for different tasks. </li></ul><ul><li>Rams are used for pushing. </li></ul><ul><li>Combination tools spread and cut. </li></ul>
  • 36. Extrication Tools (2 of 3) <ul><li>Air bags come in high-pressure and low/medium-pressure. </li></ul><ul><li>High-pressure bags operate at a maximum inflation pressure of about 130 psi. </li></ul><ul><li>Bags come in sizes ranging from 6”x 6” to 36”x 36”. </li></ul><ul><li>Low/medium-pressure bags can lift very heavy loads. </li></ul>
  • 37. Extrication Tools (3 of 3) <ul><li>Air chisels are valuable tools for rescue operations. </li></ul><ul><li>Reciprocating saws are also gaining popularity. </li></ul>
  • 38. Gasoline Engines
  • 39. Spreaders and Cutters
  • 40. Rams and Combination Tools
  • 41. High-Pressure Air Bags
  • 42. Low-Pressure Air Bags
  • 43. Air Chisel and Reciprocating Saw
  • 44. Crash Scene Assessment <ul><li>Traffic </li></ul><ul><li>Number and types of vehicles involved </li></ul><ul><li>Number and apparent extent of injuries </li></ul><ul><li>Disentanglement requirements </li></ul><ul><li>Other associated hazards </li></ul>
  • 45. Additional Resources <ul><li>Additional ambulances </li></ul><ul><li>Specialized extrication equipment </li></ul><ul><li>Additional law enforcement </li></ul><ul><li>Specialized technical rescue equipment </li></ul>
  • 46. Establish Work Areas <ul><li>Use of cones </li></ul><ul><li>Natural barriers </li></ul><ul><li>Law enforcement </li></ul>
  • 47. Vehicle Stabilization <ul><li>It may be simple or complex. </li></ul><ul><li>Determine the type necessary. </li></ul><ul><li>You may use cribbing. </li></ul><ul><li>You may need additional tools. </li></ul>
  • 48. Patient Access <ul><li>It is necessary to care for the patient. </li></ul><ul><li>Patient may need care prior to removal. </li></ul><ul><li>It may be as simple as opening a door. </li></ul><ul><li>You may need additional tools. </li></ul>
  • 49. Disentanglement <ul><li>Disassembly </li></ul><ul><li>Distortion </li></ul><ul><li>Displacement </li></ul><ul><li>Severance </li></ul>
  • 50. Patient Removal <ul><li>Careful of sharp metal and edges </li></ul><ul><li>Tools removed from egress path </li></ul><ul><li>Tools retrieved and fire hazard monitored </li></ul>
  • 51. Scene Stabilization <ul><li>Secure unresolved hazards. </li></ul><ul><li>Remove tools and cribbing that may create hazards. </li></ul><ul><li>Remain at the scene until the vehicle is removed. </li></ul><ul><li>Tow cable risks. </li></ul><ul><li>Fluid and vehicle debris. </li></ul><ul><li>Remove barriers. </li></ul>
  • 52. Specialized Rescue Situations and Tools <ul><li>There are a variety of other rescues a firefighter may face. </li></ul><ul><ul><li>Specialized training beyond this course is needed. </li></ul></ul><ul><ul><li>This is designed as a familiarization. </li></ul></ul>
  • 53. Vertical Rescue <ul><li>The victim may be above or below grade. </li></ul><ul><li>NFPA 1983 deals with rope safety. </li></ul><ul><li>Rescuers must be well-trained. </li></ul><ul><li>Be familiar with equipment and techniques. </li></ul>
  • 54. Water Rescue <ul><li>These are very dangerous operations </li></ul><ul><li>Wear PFD around water. </li></ul><ul><li>Do not attempt rescue if not trained. </li></ul><ul><li>Ice rescue requires thermal protection. </li></ul><ul><li>Reach, Throw, Row, Go. </li></ul>
  • 55. Structural Collapse Rescue <ul><li>Collapse may be natural or from an explosion. </li></ul><ul><ul><li>Pancake collapse </li></ul></ul><ul><ul><li>Lean-to collapse </li></ul></ul><ul><ul><li>V-type collapse </li></ul></ul><ul><li>Victims are the greatest concern. </li></ul><ul><li>You need specialized training and equipment. </li></ul>
  • 56. Structural Collapse Rescue <ul><li>Pancake Collapse </li></ul>
  • 57. Structural Collapse Rescue <ul><li>Lean-to Collapse </li></ul>
  • 58. Structural Collapse Rescue <ul><li>V-type Collapse </li></ul>
  • 59. Trench and Below-Grade Rescue <ul><li>Most occur at construction, utilities, maintenance, or well digging sites. </li></ul><ul><li>Asphyxiation is a major concern. </li></ul><ul><li>For the safety of rescuers, beware of a secondary collapse. </li></ul><ul><li>Team work is essential. </li></ul>
  • 60. Confined Space Rescue <ul><li>Definition </li></ul><ul><ul><li>A space large enough to enter </li></ul></ul><ul><ul><li>Not designed for worker occupancy </li></ul></ul><ul><ul><li>Limited egress or access </li></ul></ul><ul><li>Many different forms </li></ul><ul><li>Concern of oxygen-deficient atmosphere </li></ul><ul><li>Space constantly monitored </li></ul><ul><li>Need proper PPE and equipment </li></ul><ul><li>Back-up crew ready </li></ul>
  • 61. Other Rescue Situations <ul><li>Rescue from electrical situations </li></ul><ul><ul><li>Energy concerns </li></ul></ul><ul><li>Industrial entrapment rescue </li></ul><ul><ul><li>Unusual entrapments </li></ul></ul><ul><li>Elevator and escalator rescue </li></ul><ul><ul><li>Secure elevator and call for assistance </li></ul></ul><ul><li>Farm equipment rescue </li></ul><ul><ul><li>Specialized training needs </li></ul></ul>
  • 62. Summary <ul><li>Address common rescue situations you may have to face. </li></ul><ul><li>Specialized training is required. </li></ul><ul><li>Goal was to present broad spectrum of situations and some concepts to deal with them. </li></ul><ul><li>Never attempt a complex rescue without proper training. </li></ul><ul><li>Identify possible hazards in your district. </li></ul><ul><li>Know where to get specialized resources. </li></ul>

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