Gaining Access and Rescue
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Gaining Access and Rescue






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Gaining Access and Rescue Gaining Access and Rescue Presentation Transcript

  • Chapter Gaining Access and Rescue Twenty-Seven
    • Extrication: 10 fundamental phases
    • Role of the EMT-B at an extrication
    • How to size-up and recognize potential hazards at rescue scene
    • What personal protective equipment should be worn at the rescue scene
    • How to determine the need for extrication
    CORE CONCEPTS Chapter Twenty-Seven (Continued)
    • Importance of safety equipment at rescue scene
    • How to stabilize vehicle and gain access to patient
    • Typical disentanglement action plans used at a vehicle rescue
    CORE CONCEPTS Chapter Twenty-Seven
  • Fundamental Phases of Extrication
    • Prepare for the rescue.
    • Size up the situation.
    • Recognize and manage hazards.
    • Stabilize the vehicle or structure prior to entering.
    • Gain access to the patient.
    • Perform an initial patient assessment and a focused trauma exam.
    • Disentangle the patient.
    • Immobilize and extricate the patient.
    • Provide ongoing assessment, triage, treatment, and transport.
    • Terminate the rescue.
    Fundamental Phases of Extrication
    • Provide patient care before
    without further injury.
    • Ensure that patient is removed
    extrication. endangers patient or rescuer.
    • Extricate first only if delay
    (Continued) Role of Nonrescue EMT-B
    • Work with others:
    • Cooperate with non-EMS personnel.
    • Prevent any of their activities from
    injuring patient. Role of Nonrescue EMT-B
    • Follow chain of command.
    • Ensure patient care before
    extrication unless delay endangers patient/rescuer.
    • Remove patient without
    inflicting further injury. Role of Rescue EMT-B
    • Top priority for EMS workers.
    • Wear appropriate protective
    • Headgear
    • Eye protection
    • Hand protection
    • Body protection
    clothing: Personal Safety Equipment
  • Protective Clothing for Extrication
  • 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
  • Patient Safety
    • 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.
    Vehicle Stabilization
    • 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
    interested EMT-Bs:
    • Trench rescue
    • High-angle rescue
    • Basic vehicle rescue
    Complex Access (Special Equipment Needed)
    • Maintain cervical
    spine stabilization.
    • Complete initial assessment.
    • Provide critical interventions.
    (Continued) Removing the Patient
    • Immobilize spine securely:
    • Short spine board
    • Rapid extrication
    • 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.