Remind new EMT-Bs that traffic and spectators can become hazards if not controlled. A number of EMT-Bs have been killed at the scene of collisions by drivers who were watching the collision rather than the EMT-B crossing the street. P RECEPTOR P EARL
Next priority for EMS providers.
Keep patient informed of
activities and what to expect.
Protect patient from glass, sharp
metal, other hazards.
Unstable collision vehicles pose a hazard to rescue workers.
Tires can be deflated by pulling valve stems.
Make sure engine is turned off.
Step chocks (cribbing) are often used.
Tell new EMT-Bs that when placing cribbing, they should never kneel. They should always squat, staying on both feet so they can quickly move away from the vehicle if necessary. P RECEPTOR P EARL
Try opening each door.
Roll down windows.
Have patient unlock doors.
Simple Access (No Equipment Needed)
Beyond scope of EMT-B course.
Courses are available for
Basic vehicle rescue
Complex Access (Special Equipment Needed)
Complete initial assessment.
Provide critical interventions.
(Continued) Removing the Patient
Immobilize spine securely:
Short spine board
Lift and move patient , not short
spine board . (Continued) Removing the Patient
Use sufficient personnel to lift
and move patient.
Choose path of least resistance.
Continue to protect patient
from hazards. Removing the Patient
1. Name the 10 phases of the extrication process. 2. What is the role of the nonrescue EMT-B at a rescue scene? R EVIEW QUESTIONS 4. Describe the complex access plan. 3. Describe the simple access plan.