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ARRIVAL
ACCESS
ACTION
AFTER AHEAD
ARRIVAL
ACCESS
ACTION
AFTER AHEAD
BrightDrop
Zevo 600
2023 -
D2
Airbag Stored gas inflator
Seat belt
pretensioner
SRS control unit
Pedestrian
protection active
system
Automatic rollover
protection system
Gas strut/
Preloaded spring
High strength
zone
Zone requiring
special attention
Battery low voltage
Ultra capacitor, low
voltage
Fuel tank Gas tank Safety valve
High voltage
battery pack
High voltage power
cable component
High voltage
disconnect
Fuse box disabling
high voltage system
Ultra capacitor,
high voltage
DO NOT CUT ANY ORANGE COLORED HIGH VOLTAGE CABLES.
Identification Number Version Number Page Number
5G5-22101 1 1
ARRIVAL
ACCESS
ACTION
AFTER AHEAD
Specify workspace
Identify workspace
Identify people
Shield workspace
Keep people in workspace
Divert around workspace
Incident Commander
EMT
Rescue Technician
Traffic Control
Paramedic
Driver
Firefighter
Unit
Conditions
Actions
Needs
Scan scene Scan road Scan seats
Police officer grabs medic
“What do you see there?”
“Nothing.”
“Exactly.”
No braking, no steering
Critical clues and cues
No one telling how to do their job
Cold
General Scanning for SA
Warm
Specific Scanning for SA+A
Hot
Focused Scanning for SA+A
If You See Something,
Say Something
If you are in charge,
LISTEN!
ARRIVAL
ACCESS
ACTION
AFTER AHEAD
Outer 360
Inner 720
Stabilize / Brake / Ignition
Initial Pt Contact / Make Room / Protect
Hood / Power / Fluids
Makes Contact
Communicates
Protects Hard & Soft
Assesses Head to Toe
Identifies Hazards
& Opportunities
Communicates
PPE
Light
Airway & Mask
Bleeding Ctrl
Extrication buddy
Communication
Clear language
Supportive friends/family
Minimized social media
Pain Management
Focal Entrapment
Global Entrapment
Disentangle
 Adjust seat
 Adjust steering
 Move leg/ankle
 Push dashboard
Disassemble
 Up through the
roof
 Out through
the side
 Backwards
through the
back window
Dissect
 Impending threat
to life
 No other options
exist
 Coordinated with
medical direction
ARRIVAL
ACCESS
ACTION
AFTER AHEAD
Detect
Direct Pressure
Devices
Tourniquet
Clotting Gauze
Pressure Bandage
Pelvic Binder
Pain Mgt/Antiemetic
Sedation
TXA
Position / OPA&NPA / Suction
SGA (King, LMA, iGel, etc.)
ETI (First Pass Success)
Cricothyrotomy
High WOB / Apnea
Tension Pneumothorax
Sucking Chest Wound
Flail Chest
Min. BP or MAP
IV / IO Access
Fluids: LR vs NS
Blood Products
Hypothermia
Hypocoagulability
H+ Acidosis
Preparation
Harden The Egress
Extended Operations
Trauma Center
Pre-Notify
Hand-Over
ARRIVAL
ACCESS
ACTION
AFTER AHEAD
Pictures
Pain / Pathogens
PTSD
Preview
Practice
ARRIVAL
ACCESS
ACTION
AFTER AHEAD
EMS and Extrication: Coordinating Critical Care
EMS and Extrication: Coordinating Critical Care

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EMS and Extrication: Coordinating Critical Care