31)Gaining Access

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31)Gaining Access

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

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