Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Best practices in vehicle rescue fdic 2010 pp03

1,146 views

Published on

Best Practices of Vehicle Rescue 2010. The melding of proper operational practices with vehicle technology concerns

Published in: Health & Medicine
  • Be the first to comment

Best practices in vehicle rescue fdic 2010 pp03

  1. 2. "Best Practices" Vehicle Rescue
  2. 4. "Best Practices" Vehicle Rescue
  3. 5. Me? <ul><li>David Dalrymple </li></ul><ul><li>26 years in emergency services </li></ul><ul><li>Career- RWJUH EMS </li></ul><ul><li>Volunteer- Clinton EMS/Rescue </li></ul><ul><li>Rescue Instructor for 16 years- Vehicle Rescue is my specialty </li></ul><ul><li>TERC US – Education Chair </li></ul><ul><li>International certified Extrication judge-judged & lectured in US, Canada, UK, Europe & SA </li></ul><ul><li>2007 Harvey Grant award recipient </li></ul><ul><li>International registered SAVER instructor by ICET </li></ul><ul><li>Extrication Tactics columnist Fire Engineering Magazine </li></ul><ul><li>Team Captain-World Champion Vehicle Rescue Team 1998 </li></ul><ul><li>Educator- RoadwayRescue </li></ul>
  4. 6. NVT N ew V ehicle T echnology <ul><li>Vehicle materials, components, construction and concerns that will directly impact emergency responders while providing emergency services and pre hospital care. </li></ul>
  5. 10. Command & Control
  6. 11. Command & Control <ul><li>Officer identifies any NVT concerns and/or issues. </li></ul><ul><li>Communicates information to the crew </li></ul><ul><ul><li>Ensures all personnel are aware of hazard(s) </li></ul></ul><ul><li>Officer identifies & documents debris containing NVT hazard(s). </li></ul>
  7. 12. <ul><li>Access to NVT information is during training & scene operations. </li></ul>
  8. 15. <ul><li>All Hybrid models have a guide for emergency responders to deal with various emergencies </li></ul><ul><li>How to shut down, extrication concerns, firematic & towing concerns </li></ul>ERG Emergency Response Guide
  9. 16. Safety
  10. 17. Safety <ul><li>All personnel, especially those performing size up & evaluation, inspect vehicles completely for NVT concerns/hazards. Such hazards, when identified, are communicated to the rest of the crew </li></ul>
  11. 18. <ul><li>Space is observed as possible when interacting with SRS and patients. </li></ul>
  12. 20. DUAL STAGE
  13. 28. 2011 Ford Rear Seatbelt SRS
  14. 30. <ul><li>As part of power isolation, the vehicle is shut down & keys removed & secured. Such action is documented. </li></ul>
  15. 31. Shut down <ul><li>Each vehicle has unique emergency procedures-however-if you do the following 2 actions they will disable the HV circuit & disarm/discharge the SRS system(s): </li></ul><ul><ul><li>Turn the key to the OFF position and remove the key and keep it AWAY from the vehicle </li></ul></ul><ul><ul><li>Disconnect the 12V battery (both + & -) </li></ul></ul>
  16. 32. Vehicle Pwr Button No Mechanical Key System
  17. 33. Where are the keys?
  18. 37. 40% of batteries live outside engine compartment
  19. 39. Power Shut Down ASAP!
  20. 40. <ul><li>When severing wires, use of a hand cutter – not a power hydraulic cutter – is indicated. </li></ul>
  21. 41. Cut wiring with a HAND cutter-not a power hydraulic tool!
  22. 42. <ul><li>Interior trim is displaced to evaluate if potential NVT hazards are present. If such hazards are present their identification is made to the entire crew & documented. </li></ul>
  23. 46. Where do we cut?
  24. 47. <ul><li>When vehicle components are displaced/removed care is given due to potential NVT concerns. </li></ul>
  25. 50. <ul><li>Use of pertinent personal protective equipment at all times. </li></ul>
  26. 52. <ul><li>Use of respiratory protection is required when performing glass management. </li></ul>
  27. 56. Tool Usage/Evolutions
  28. 57. Rescuer Safety – Tool Handling <ul><li>Always be situationally aware </li></ul><ul><li>DO NOT get between the vehicle & tools - Especially power hydraulics! </li></ul><ul><li>Always unplug electric tools prior blade/bit changes! </li></ul><ul><li>Treat air chisels as a loaded gun when pressurized </li></ul><ul><li>Watch where your hands/arms/feet are at all times </li></ul><ul><li>Warn interior rescuer when operating tools that will intrude and/or have effect on patient care </li></ul><ul><li>Always use a tool-not your hands-when removing glass </li></ul>
  29. 58. <ul><li>Management of vehicle stabilization during the incident and especially during tool operations. </li></ul>
  30. 60. A Stabilization thought… <ul><li>Ever thought about “run flat” tires.. </li></ul><ul><li>Two thought processes </li></ul><ul><ul><li>Solid insert </li></ul></ul><ul><ul><li>Stiffened sidewall </li></ul></ul><ul><li>How low will the tire deflate now? </li></ul>
  31. 61. <ul><li>Attention given to appropriate space making evolutions in relation to patient care/outcome. </li></ul>
  32. 62. “ WHY WE EXTRICATE” <ul><ul><li>Physical Entrapment </li></ul></ul><ul><ul><ul><li>Encasement in metal </li></ul></ul></ul><ul><ul><ul><li>Pinned VS Trapped </li></ul></ul></ul><ul><ul><li>Nature of Injuries and Restricted Space “Medically Entrapped” </li></ul></ul><ul><ul><ul><li>Making space in order to prevent further injury by manipulating the patient during removal </li></ul></ul></ul>
  33. 63. Interior Considerations <ul><li>Cockpit </li></ul><ul><li>Seats? </li></ul><ul><li>Seating positions </li></ul><ul><li>Vehicle concerns </li></ul><ul><li>Injury patterns /considerations </li></ul><ul><li>Packaging concerns </li></ul><ul><li>Safety/protection </li></ul>
  34. 64. Creating Space <ul><li>Medically entrapped = space needed </li></ul><ul><li>Creating Space is important </li></ul><ul><li>Creating Space is your insurance that no further harm will done to the patient </li></ul><ul><li>Think Space to…… </li></ul><ul><ul><li>Have adequate room to work </li></ul></ul><ul><ul><li>Have adequate room to provide patient care </li></ul></ul><ul><ul><li>Have adequate room to properly remove the patient </li></ul></ul>
  35. 65. Door pop or side removal Is this enough space today?
  36. 66. Rescue Real Estate concept Who &quot;owns&quot; what on the vehicle Engine Co Hazard control Rescue Team Extrication EMS Patient Care
  37. 67. <ul><li>Whenever using tools in the area of the passenger cell appropriate protective barriers are placed between the patient(s) and the interior rescuer. </li></ul>
  38. 69. <ul><li>Use of strategic cutting evolutions to enhance space making operations. </li></ul>
  39. 70. <ul><li>Cutting hinges/latches is a good tactic today </li></ul><ul><li>Less “stress” on patients </li></ul><ul><li>Can be easier to facilitate than spreading apart </li></ul><ul><li>Need to get blades around device </li></ul><ul><li>Can the tool do the job? </li></ul>“ Cutting” Hinges/Latches
  40. 73. <ul><li>When performing tool operations, you need have both spreading & cutting tools available & ready for use. </li></ul>
  41. 74. Door “Shred” <ul><li>“ Outer” door materials tear easy </li></ul><ul><li>When they do, they leave little to push against </li></ul><ul><li>We need to get the spreader tips past the hinges/latch to minimize tear </li></ul><ul><li>Have cutters ready to go </li></ul>
  42. 75. <ul><li>Concern given to cutting material(s) with possible NVT concerns with respective tools </li></ul>
  43. 76. Material & Construction <ul><li>Construction advances don ’ t prevent entrapment </li></ul><ul><li>Entrapped patients require aggressive management </li></ul><ul><li>Construction advanced do effect major injury </li></ul>
  44. 77. B-Post reinforcement
  45. 78. B-Post reinforcement
  46. 79. Carbon Fiber Body Panels
  47. 82. <ul><li>Care & concern given to vehicle design and component concerns in relation to space making. </li></ul>
  48. 83. Crush Zones
  49. 85. What tool Evolutions will be difficult? Does this look familiar?
  50. 87. 70% of incidents Hybrids & Alternative Fueled Vehicles
  51. 89. Stay away from BRIGHT ORANGE CABLE
  52. 90. Stay away from BRIGHT BLUE cable!
  53. 91. Review - Hybrid 101 <ul><li>All hybrids start on electric power alone </li></ul><ul><li>Some travel on electric power alone up to certain speeds </li></ul><ul><li>HV power is direct current DC </li></ul><ul><li>Some hybrids also generate 110 AC </li></ul><ul><li>HV circuit is self contained – does not ground out to the vehicle chassis </li></ul><ul><li>Drivetrain power is computer controlled and managed </li></ul><ul><li>Gas/Diesel side of drivetrain is load dependant </li></ul><ul><li>All Hybrids have a HV drivetrain circuit as well as a normal 12v automotive electric system </li></ul><ul><li>Even when the hybrid is shut down and secured there will ALWAYS be power in the HV battery </li></ul><ul><li>As emergency responders there is NO NEED to interact with the HV battery – leave it alone! </li></ul><ul><li>Crayola colors to remember > bright orange = HV power </li></ul><ul><ul><ul><ul><ul><li>Bright blue = “intermediate” HV power (GM products) </li></ul></ul></ul></ul></ul>
  54. 92. Impact disarms Hi-Voltage
  55. 93. Tool Evolutions are NOT an issue!
  56. 94. 2010 Prius Solar Roof Use caution in cutting/spreading in this area if curtain is undeployed
  57. 100. Let’s summarize…. <ul><li>Safety systems are more wide spread & comprehensive </li></ul><ul><li>Construction, materials & components will impact rescue efforts more & more </li></ul><ul><li>Motive power will make dramatic strides in the next 33-38 months </li></ul><ul><li>Rescue teams will need to “think & work smart” </li></ul><ul><li>“ Silent”cars are NOT just hybrids and electrics </li></ul><ul><li>More background information will be needed about vehicles & their components </li></ul><ul><li>Vehicle size issues </li></ul><ul><li>Training issues & concerns </li></ul>
  58. 102. In the time we have spent together today 172 people have died in road traffic accidents worldwide

×