Loading...
Auto Extrication Training (2) RPDPS Auto T. MARSHALL Extrication Definition s removal path. ’s access path or the victim’respondercomponents from around the entrapped victim, the the movement of vehicle body materials or structural of their injuries. Vehicle extrication procedures may involve entanglement of the structure of the vehicle and/or the nature who have become entrapped in the vehicle by either the Vehicle extrication is the procedure used to remove victims Personnel Safety blocking position at safe distance behind the accident scene. When possible the first responding apparatus should be placed in a safely operate the incident.of traffic. If this is not possible, then command enough lanes to should be spotted on the shoulder or center divider, out of the flow working on or near the roadway; whenever possible equipment Road and highway incidents pose a high threat to personnel  Personnel Safety Consider apparatus placement or patrol car placement.line!!NEVER approach a vehicle that may be in contact with a downed directional light bar will be activated. While operating in the roadway, all vehicle warning lights, including  Personnel Safety DOT vests are not required). (during vehicle fires and extrication Note:roadway DOT vests while working on any helmetsApproved safety glasses, gloves, outs- Vehicle Extrication Standard **GOLDEN HOUR**Victim Transport 9.Victim Extrication 8.vehicle safety systemVehicle assessment to include 7.Victim Care/EMS Intervention 6.Victim Protection 5.Vehicle Stabilization 4.Protection from fire 3.Personnel Safety 2.Size Up 1.Priorities•Procedures What We Carry Step ChalksCribbingRescue 42’sPower Units HolmatroRam SupportRamCuttersSpreadersRescue EquipmentHolmatro Holmatro utilizing CORE technologyAbility to run two tools Honda GX100 3.0Max Pressure 10,500 PSI30-Model No. DPU9985/9982Core Power Unit Core Technology Hoses double the reachCan be daisy chained together to debrisnot in use/connectors free of caps are placed back on when Ensure they are protected and 32’8” Longencompassed in one lineHydraulic fluid “feed” and “return” onceAllows multiple tools to be ran at  Standard Compliment 27 1/4"-Max. Spreading Travel lbf11,200 -(NFPA 1936, HPF) Max. Pulling Force lbf19,595 -(at back of tips) Max. Spreading Force PSI10,500 –UL -Model 4242Spreaders Standard Compliment, 1/4”Max Opening 6 LBS(in notch) 67,600 Max Cutting Force 10,500 PSIOperating Pressure Model 4035Cutterscontinued… Standard Compliment, still 50.6”–Extended length 22”–Retracted length lbssecond plunger 22,706 –Max spreading force lbsplunger 48,784 first –Max spreading force 10,500 PSI Model 3350Hydraulic Ramcontinued… Airbags Lifts 63,400 LBS 23 ¾”Large AirbagLifts 44,940 LBS19 3/4”Medium AirbagLifts 22,470 LBS14 ¾”Small airbagregulator kitUsed in conjunction with  Combi Core Technology HoseModel 4150PSIMax pressure 10,500 ToolCombiMax Pressure 10,443 PSIModel No SR10Power UnitTool on 9980 Report on Conditions evaluate incident status-Continually to re•Hazards present•…etcCompanies, Tow, Ambulance, Engine/Truck Is anything else needed (EMS/ Air •route?-enWhat is •scene?-What is on–Resources •Major•Moderate•Minor•Severity of the injuries•Number of patients•Entrapment (minor extrication)•Minor (no extrication)•Classification•Major •Moderate•Minor•Damage to the vehicle•Off the roadway•Blocking the roadway•In the roadway•Confirm location of incident• Report on Practice…Conditions Power Utilization and Disconnection down from stored energy capacitors)remove keys (begin energy bleed turn off ignitionIf unable to access the batterySRS Systems safe. Battery disconnection does not make the unlock power doors. lower windows, adjust seats and remove patients from line of fire Prior to disconnecting the battery  Provide Treatment to Patient Face to face with Paramedic(s) at scene to find out what they want/need.throughout the extrication process.Treatment should begin and continue while access is gained and High flow 02Spine stabilization as soon as safely possible.-CBegin treatmentphysical entrapment.if the patients are critical without ”smash & grab“Consider Might require additional equipment (EMS, Engine/Truck Companies)entrapment.Assess the patients injuries, treatment needed and level of  Provide Treatment to Patient LOOPKEEP THEM IN THE -TALK TO THE PATIENT to glass being removed or cutting or prying on the vehicle).Rebreather mask (This will occur prior -Protect the airway with a Nonheavy blanket, tarp or salvage cover prior to extrication.Protect patient from additional injuries by covering them with a  Glass Management protected before breaking glassEnsure patient(s) are covered and We carry windshield sawsglass particlesUsing sheers vs an axe can reduce Noteprior to removal patient protection will be in place Glass will be removed as needed;  Seat Belt Removal the beltoccupant is being supported by Do not cut the seat belt if the simplify roof removal.pretension activation and to the event of accidental seat belt protect patients and rescuers in Cut seatbelts  Interior Trim (Peek and Peel)high strength metals•wiring/capacitorscharges safety system seatbelt pretension pyrotechnic •mechanisms/cylindersairbag inflator •safety system including:exposes location of vehicle Removal of interior trim • Airbags away from passenger airbags ”20•airbagsaway from steering wheel ”10•away from side impact airbags”5•Rescuers should stay… ”Rule of thumb“ Using spreaders / Step 1 Step 2Step 3 RemovalDoor t pinch down on the suspension springs. Make sure you don’provides a good purchase point.Using the space at the top or bottom of the A post door. Purchase point to the hinge side of the •Pinch down on the fender•toolcombi Door Removal Cut the top hinge first firewall.rather then being pushed in to the collision bar to be forced outward This will also allow the side impact •Hinge side first •Cut hinges and wiring•Step 4:  Operational Alternative working down the door.Pry above the hinge Notebetter access for the cutters.may have to pry in order to gain You can also pry the doors off or • Cut A,B,C posts. (No Roof Removal the pillar.narrowest portion of you want to cut the Newer vehicles have Note:system components. passenger restraint Cut high on the pillars Note:area is safe for cutting.)trim is removed and B or C post until interior cuts will be made on A, Roof Removal belts are free and clear. through the posts and that the seat Ensure all cuts are completely -Place away from working area• Make your relief cuts behind the suspension Dash Roll Step 2 least resistancethe to the side withwill always rotate Note: The cutter *.relief cuthole to assist with the vehicles wiring harness You can use the suspension components the tire to avoid the Cut behind the center line of Step 1and between the hinges. •Dash Roll removalvictim aid in ram and remove the you to will allow cribbing Placing the NoteCrib the void space. •both sides. Notice the cribbing on •the dash.simultaneously push spreaders and the ram Utilizing the Operational Alternative place.must keep the rear door in on a four door vehicle you If you using this method Note:horizontal space. to provide vertical and pillar, this is an effective way fashion between the A and B Place the ram in a horizontal  Vehicle Stabilization and Hazard Terrain or locationthe vehicle(s) and the groundIncrease the surface area and number of contact points between way to stabilize”right“There is usually more than one Control Vehicle Stabilization and Hazard ends to move right or left in relation to their original position.s front and rear ’s vertical axis, causing the vehicle’The vehicle can rotate on its rear end’front end to rise or fall in relationship to its ’The vehicle can move up or down on its lateral axis, causing the vehicleSide to side. A vehicle may rock back and forth or roll overThe vehicle can move up or down in relations to the groundConsider vehicle position…Control Vehicle Stabilization and Hazard …etchigh lift jacks, air bagsthe vehicle itselfRescue 42’sbox / step platform cribbingminimum of 3 pointswill be stabilized at a Vehicles on their wheels -ConsiderationsControl Vehicle Stabilization and Hazard control, crowd control, hazardous materials Remember fuel leaks, fire suppression, traffic NOTE: vehicleProperly stabilized prior to using any tools on the Charge hose linestabilized prior to personnel entering the vehicleVehicles on their sides or over turned Control Training Safety Considerations Wear ear protection when using a circ saw purchase point, it can cause them to breakDo not slam the tip of the spreaders into the vehicle to create a “C” Clamp grip when tool is moving close to the vehicle Do not stand between the tool and the vehicleHosesHolmatroDo not step on Wear eye protection at all times when using toolsFull PPE Rescue 42 Video https://www.youtube.com/watch?v=ntK3rvVl2QwTesla Videohttps://www.youtube.com/watch?v=D4peF1EYke8Model X Videohttps://www.youtube.com/watch?v=DbwC_Q1UTKgRescue 42 Video