This document discusses vehicle extrication for emergency medical responders. It defines vehicle extrication as removing patients from a vehicle after an accident. It describes the emergency medical responder's role in assessing safety hazards, accessing the patient while stabilizing their spine, and controlling the scene until additional responders arrive. The document outlines two common types of extrication - using a Kendrick Extrication Device or performing a rapid extrication. It emphasizes the importance of personal safety and controlling spinal motion during extrication. The document also warns of potential hazards from the vehicle like leaking fluids, an unstable vehicle, airbags, and downed power lines during the extrication process.
First Aid For Spinal Injuries - WHS First Aid KitsHonoraw
Spinal injuries may be caused by any strong forces affecting the head, back, chest, feet or legs. A person falling from a height may land in a range of positions. The spine is often jarred even when the victim lands face down on the chest.
Basic first aid for beginners other than medical person who would like to know basics of first aid to help in their community in case of accidents and related cases
Definition ,explanation, Examples, Reporting & Investigation formats, in house designed Online nearmiss reporting portal with analytical features & Near miss incident cases
First Aid For Spinal Injuries - WHS First Aid KitsHonoraw
Spinal injuries may be caused by any strong forces affecting the head, back, chest, feet or legs. A person falling from a height may land in a range of positions. The spine is often jarred even when the victim lands face down on the chest.
Basic first aid for beginners other than medical person who would like to know basics of first aid to help in their community in case of accidents and related cases
Definition ,explanation, Examples, Reporting & Investigation formats, in house designed Online nearmiss reporting portal with analytical features & Near miss incident cases
Insurance Products
We Also Provide SYNOPSIS AND PROJECT.
Contact www.kimsharma.co.in for best and lowest cost solution or
Email: amitymbaassignment@gmail.com
Call: 9971223030
We have established a reputation as one of the top Ambulance manufacturers in the world due to the quality of our Ambulances, customized vehicles and armored vehicles. It is known that we supply the best Ambulance vehicles. In our range, we have new Ambulances, armored vehicles, mobile clinics, mobile workshops and many more. In addition to our ambulances, we can supply a first response vehicles, mobile clinics, mobile hospitals and fire fighting vehicles to meet all of your requirements. If you want Ambulances, special vehicles, fire fighting vehicles then you need the best Ambulances/special vehicles/fire fighting vehicles which our company supplies
We have established a reputation as one of the top Ambulance manufacturers in the world due to the quality of our Ambulances, customized vehicles and armored vehicles. It is known that we supply the best Ambulance vehicles. In our range, we have new Ambulances, armored vehicles, mobile clinics, mobile workshops and many more. In addition to our ambulances, we can supply a first response vehicles, mobile clinics, mobile hospitals and fire fighting vehicles to meet all of your requirements. If you want Ambulances, special vehicles, fire fighting vehicles then you need the best Ambulances/special vehicles/fire fighting vehicles which our company supplies
We have all been advised to stay at home. If you do need to travel for an essential reason, Wheely is doing everything possible to protect passengers and chauffeurs. All cars now carry hand sanitiser and single-use tissues, while chauffeurs frequently wash their hands and sanitise interior and exterior touch points after every journey. They also completely disinfect their vehicles with spray and single-use disposable cloths at least twice per day. Your chauffeur will maintain a respectful distance throughout your journey, facing away from the vehicle when opening your door. Even so, please do follow official travel guidelines and stay safe.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
2. Barry Kidd 2010 2
Overview
What is Vehicle Extrication?
• EMR’s role in extrication
• The different groups involved in
vehicle extrication
• Hazards involved in extrication
• Types of extrication
• Airbags
3. Barry Kidd 2010 3
Vehicle Extrication
The process of
removing
patient(s) from a
vehicle who have
been involved in an
accident
4. Barry Kidd 2010 4
Vehicle Extrication
Why is vehicle extrication an
important skill?
Since NO TWO accidents are the
same, it is important to possess the
knowledge required to extricate
patients quickly and safely
5. Barry Kidd 2010 5
Vehicle Extrication
Remember…
The important thing when
approaching a motor vehicle crash
(MVC) is:
DO NOT put yourself in a position
where you can be injured!!
PERSONAL SAFETY!!
6. Barry Kidd 2010 6
Role of the Emergency Medical
Responder
Remember, use what resources are
available to you!
If you are alone on scene, your
FIRST PRIORITY is you and your
patients safety!!
7. Barry Kidd 2010 7
Role of the Emergency Medical
Responder
Once scene safety has been
determined, several things must be
accomplished:
Assess Scene
Assess Vehicle Damage
Attempt to gain access to patient
Provide treatment to patient
Control Scene
8. Barry Kidd 2010 8
Assess Scene
Ensure scene safety!!
Determine mechanism of injury
Determine number of patients involved
Is there a need for additional resources:
Additional ambulances
Fire Department
Police
9. Barry Kidd 2010 9
Assess Vehicle Damage
Damage to the vehicle, is an effective to determine what
injuries a patient may have received.
For example, if most of the damage is to the driver’s side
door, what injuries will the patient likely have?
Fractured Pelvis
Fractured Ribs
Spinal Injuries
Extremity Injuries
Assessing vehicle damage is especially important, if the
patient is unconscious or you have a small child who is
unable to communicate
11. Barry Kidd 2010 11
Attempt to Gain Access to
Patient
Vehicles which are involved in Motor
Vehicle Crashes (MVC), may be in any
position.
Before trying to access any patients,
ensure the vehicle is stable, and there are
no dangerous fluids leaking
If any dangers are present, WAIT for the
fire department to arrive!
13. Barry Kidd 2010 13
Attempt to Gain Access to
Patient
If the vehicle is
safe, try to reach
the patient(s) via
simple access
Open car doors, it
is important to try
all doors!
14. Barry Kidd 2010 14
Attempt to Gain Access to
Patient
Enter through
windows. Make
sure to clear away
all glass from the
frame before
entering the
vehicle!
15. Barry Kidd 2010 15
Provide Treatment to Patient
Once you have gained access to the
patient, the first thing you should do
is
CONTROL C-SPINE
16. Barry Kidd 2010 16
Control Scene
If you are unable to gain access to
the patient, or there is more then
two EMRs on scene, it is your
responsibility to ensure the scene
around the vehicle is safe for the
patient
17. Barry Kidd 2010 17
Groups Involved in Vehicle
Extrication
Police, Fire (EMO),
and Ambulance
work together to
control the scene,
extricate the
patient, and
provide
appropriate
emergency care
18. Barry Kidd 2010 18
Hazards Involved in Extrication
The following list of hazards are important
to be aware of, when dealing with a motor
vehicle crash (MVC):
Vehicle
Traffic
Weather
Other (H.O.M.E.)
19. Barry Kidd 2010 19
Vehicle Hazards
Several hazards can originate from the
vehicle while assessing the scene you need
to watch for:
Leaking fluids - Battery Acid, Gasoline
Unstable vehicle
Charged Bumper – difficult to determine,
avoid working near bumpers if possible
20. Barry Kidd 2010 20
Traffic Hazards
If a Motor Vehicle
Crash (MVC) occurs
on a highway or any
other busy road, it is
important to remain
as visible as possible.
Wear bright clothing
to increase your
chances of being
seen!
21. Barry Kidd 2010 21
Weather Hazards
Extremes in weather can pose a
serious threat to both the EMR and
the patient.
Exposure to heat or cold can be a
serious threat.
Attempt to keep the patient and
yourself as warm or cool as possible
22. Barry Kidd 2010 22
Other Hazards
Structures such as
power lines, gas
lines etc. that have
been struck by a
vehicle can pose a
threat to the EMR
and the patient.
NEVER approach a
vehicle that may
be in contact with
a downed line!!
23. Barry Kidd 2010 23
Types of Extrication
Types of extrication are dictated
mostly by either the condition of the
patient, or the condition of the
vehicle.
There are generally two types of
extrication used in the pre-hospital
setting:
Kendrick Extrication Device (KED)
Rapid Extrication
24. Barry Kidd 2010 24
Kendrick Extrication Device
(KED)
One of the most under
used pieces of spinal
equipment.
All EMRs are trained
to use the KED and it
is important be well
practiced and familiar
with this device
26. Barry Kidd 2010 26
Rapid Extrication
First Step:
Maintain manual C-spine
Second Step:
Move patient into a neutral, in-line
position
Third Step:
Measure and apply C-collar
27. Barry Kidd 2010 27
Rapid Extrication
Fourth Step:
Place spine board under patient as far as
possible
Fifth Step:
Move patient on to spine board
Sixth Step:
Maintain C-spine throughout the process
28. Barry Kidd 2010 28
Airbags
Typically vehicles have three sensors
that detect rapid deceleration during
a collision.
At least two out of three sensors
must be activated for the airbag to
deploy
29. Barry Kidd 2010 29
Airbags
EMRs and other EMS practitioners need to
be aware of:
If there is significant damage to the front
end of the vehicle, and the airbag has not
deployed, NEVER position yourself
between the steering column and the
patient
Serious injury or DEATH can
occur if struck by an airbag
30. Barry Kidd 2010 30
Airbags
Did you know…
Many newer vehicles may have up
to 10 airbags!
An airbag can generate enough
force to propel a 200 pound person
six feet off the ground!
Airbags deploy at a speed of 200
mph or 320km/hr!
34. Barry Kidd 2010 34
Conclusion
What is Vehicle Extrication?
What is an EMRs role in extrication?
What are the different groups involved
in vehicle extrication?
What are the hazards involved in
extrication?
What are the two types of extrication?
What are airbags?