Hot topics08 short pp03


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Hot Topics in Vehicle Rescue. Vehicle technology update for 1st qtr of 2010

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  • Sanson: high percentage of entrapped patients require advanced life support (ALS), including on scene intubation and chest decompression. Aggressive field resuscitation and immediate transport to a level 1 trauma centre is associated with a mortality lower than that predicted by TRISS in spite of the prolonged prehospital time Reines: TRC felt prehospital care was beneficial in 85% of cases Lies EurNCAP Segui-Gomez: 1206 eligible drivers in newer vehicles presented significantly fewer and less severe injuries than their 3827 pre-1998 model year counterparts
  • Hot topics08 short pp03

    1. 1. HOT topics in vehicle rescue
    2. 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>
    3. 6. <ul><li>As a responder what is YOUR biggest concern with vehicles of today? </li></ul><ul><li>Is an airbag “spent” if it has been deployed? </li></ul><ul><li>What methods, if any, can be used to ensure your safety at a vehicle related incident and or emergency? </li></ul><ul><li>Are there vehicles on the street today that do not make any noise when running? </li></ul><ul><li>Do the tool evolutions we’ve learned in the past work on today’s vehicles? </li></ul><ul><li>Do you feel frightened by the vehicle hazards of today? </li></ul><ul><li>Do you feel prepared to deal with vehicle hazards? </li></ul>A Question for you ……
    4. 8. What are we going to talk about? <ul><li>Technology </li></ul><ul><li>Operations </li></ul><ul><li>Trends </li></ul><ul><li>Summary </li></ul><ul><li>Q & A </li></ul>
    5. 10. 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>
    6. 11. Technology
    7. 15. DUAL STAGE
    8. 20. Strip Roof Trim
    9. 23. Side Curtain - Deployed from another direction
    10. 30. 2011 Ford Rear Seatbelt SRS
    11. 31. Pedestrian protection SRS
    12. 39. Crush Zones
    13. 40. What tool Evolutions will be difficult? Does this look familiar?
    14. 43. Mag-Alum Structure
    15. 46. Take a look!
    16. 48. Fuel Additives <ul><li>NOS for gasoline </li></ul><ul><li>Propane for diesels </li></ul><ul><li>Towing/performance additive </li></ul><ul><li>Fire/Crash related issues </li></ul>
    17. 49. Operations
    18. 51. 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>
    19. 53. 40% of batteries live outside engine compartment
    20. 57. Vehicle Pwr Button No Mechanical Key System
    21. 58. Where are the keys?
    22. 61. 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>
    23. 63. 70% of incidents
    24. 68. 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>A crash and/or a change in voltage in the HV results in a shutdown of the HV system </li></ul>
    25. 69. Hybrid 101 <ul><li>All Hybrids have a HV drivetrain circuit as well as a normal 12v automotive electric system </li></ul><ul><li>Gas/Diesel side of drivetrain is load dependant </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 > </li></ul><ul><li>Bright orange = HV power </li></ul><ul><li>Bright blue = “intermediate” HV power (GM) </li></ul>
    26. 70. Impact disarms Hi-Voltage
    27. 71. Tool Evolutions are NOT an issue!
    28. 72. 2010 Prius Solar Roof Use caution in cutting/spreading in this area if curtain is undeployed
    29. 73. Stay away from BRIGHT ORANGE CABLE
    30. 74. Stay away from BRIGHT BLUE cable!
    31. 80. 07 CIVC GX
    32. 87. Strategic Cutting Spacemaking
    33. 88. Use a good cutting shield
    34. 90. Side impact bars <ul><li>more spreading & cutting may be needed </li></ul>
    35. 97. <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
    36. 98. Training ….
    37. 99. <ul><li>What are we training on? </li></ul>
    38. 100. <ul><li>How are you training? </li></ul>
    39. 101. <ul><li>Do you use live patients as part of your training? </li></ul>
    40. 102. <ul><li>Extrication challenges as educational venues… </li></ul>
    41. 103. Trends ...
    42. 107. 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>
    43. 108. A Post C Post 2007 MB S Class
    44. 110. Carbon Fiber Body Panels
    45. 114. B-Post reinforcement
    46. 115. B-Post reinforcement
    47. 116. <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
    48. 124. “ 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>
    49. 125. 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>
    50. 126. Is this enough space today? Door pop or side removal
    51. 127. Rescue “Real Estate” <ul><li>Who should be in the hot zone – </li></ul><ul><li>Can we share the space? </li></ul><ul><li>ALS/BLS and their “stuff” get in the way </li></ul><ul><ul><li>Why? Habits are hard to break! </li></ul></ul><ul><ul><li>Coordination of efforts needs to happen </li></ul></ul><ul><li>Why rescue personnel get annoyed </li></ul><ul><ul><li>Too many people/things in the way </li></ul></ul>
    52. 128. Who Owns This Space??? <ul><li>Rescue crew owns: </li></ul><ul><ul><li>Exterior of vehicle </li></ul></ul><ul><ul><ul><li>Emphasis on sides </li></ul></ul></ul><ul><ul><ul><ul><li>Why? </li></ul></ul></ul></ul><ul><li>EMS crew owns: </li></ul><ul><ul><li>Interior </li></ul></ul><ul><ul><ul><li>The only equipment that is REALLY needed should be inside the vehicle – You (PPE), O2, Combines/4x4’s, BP Cuff, C-collar </li></ul></ul></ul><ul><ul><ul><li>Any other “stuff” (jump bag, back board, AED, etc) can go outside the vehicle in the warm zone </li></ul></ul></ul>
    53. 129. Rescue Real Estate concept Who &quot;owns&quot; what on the vehicle Engine Co Hazard control Rescue Team Extrication EMS Patient Care
    54. 134. Let’s summarize…. <ul><li>Safety systems are more wide spread & comprehensive </li></ul><ul><li>Construction, materials & components will effect 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” vehicles are NOT just hybrids & electrics </li></ul><ul><li>More background information will be needed about vehicles & their components </li></ul><ul><li>Vehicle sizing </li></ul><ul><li>Training issues & concerns </li></ul>
    55. 136. In the time we have spent together today 345 people have died in road traffic accidents worldwide
    56. 137. Questions ???