31)Gaining Access

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  • 1. Gaining Access
  • 2. Fundamentals of Extrication
    • Role of the EMT
      • Administer care to pt before extrication
      • Assure limitation of damage to pt while extricating
      • Pt care precedes extrication unless delayed movement endangers pt or EMT
      • Cooperate with activities of rescuers
  • 3. Safety
    • Personal Safety
      • NUMNER 1 PRIORITY
      • Utilize protective clothing necessary for call
    • Pt safety
      • Inform pt of aspects of extrication
      • Protect pt from hazards:
        • -Glass –Metal – Other hazards
  • 4. Types of Extrications
    • Simple access
      • Does not need equipment
        • Try opening each door
        • Roll down windows
        • Have pt unlock doors
    • Complex access
      • Requires tools
        • Separate programs for certification
  • 5. Removing Patient
      • Complete initial assessment
      • Provide critical interventions
      • Immobilize spine securely
        • Short spine board
        • Rapid extrication?
      • Use sufficient personnel
      • Path of least resistance
      • Continue to protect pt
  • 6.