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Patient Management at a Motor Vehicle Incident

Mon, 11 Oct 2010|

Dave Dalrymple discusses the idea of "Rescue Real Estate," which entails separating the operating locations and functions of groups of first responders at vehicle incidents.



[BLANK_AUDIO] [MUSIC] [NOISE] Okay rescuers welcome to training minutes my name is Dave Dalrymple. Today's evolution we're gonna talk about something that very seldom do we actually go through. We're gonna talk about patient management at a motor vehicle crash or we're gonna term it rescue real estate. We're gonna show you how the different components that arrive on scene are all gonna work together and how to manage the patient. Now we all know the whole purpose of our job regardless of what role we're doing is to provide. A proper pathway to remove the patient and to remove the patient to a medical facility. Well let's watch how the crews go through the various parts of rescue real estate. Our crews have arrived on scene. Engine company is here, EMS is here, our rescue crew is here they're gonna go to work. Now how rescue real estate works is we're going to divide the vehicle up into different sections, who owns what. The engine company is going to own the front and rear of the vehicle because of hazards. They're going to look for the battery. Now you can see the IC on scene, he has. A laptop computer with [UNKNOWN] tech software or [UNKNOWN] rescuers guide to safety systems software so he can identify the hazards of the vehicle. The EMS provider has made contact with the patient and is talking to the patient at this time. [SOUND] >> Now the IC's gonna talk to the engine crew, tell 'em where the hazards are. This way we've delineated the vehicle. Into different tasks. This way all of the crews can work together at the same time. Crew is taking care of the battery. The rescue crew is going to break glass, so the EMS provider can make entry into the the vehicle. To make access to the patient [NOISE] >> Now, EMS providers made entry into the vehicle. [NOISE] The engine crew has found the battery. The vehicle is secured, as you can see the engine crew has a line out. They're ready to protect the vehicle in case of any fire hazards. And at this point and time EMS providers gonna put oxygen on the patient. Okay the rescue crew is gonna come in. Now that they've established. We need to make a pathway to get patient out that's entrapped. They're gonna come in and do a B post test, they're gonna do a side, complete side removal of the vehicle. So watch the crew as they go through it. [NOISE]. [NOISE] Remember rescuers as you're doing any type of work around the roof posts. You're gonna pull trim. You're gonna make sure you got hard protection in place between the patient and the EMS provider and your door. >> [SOUND]. >> [NOISE]. [NOISE] [SOUND] [NOISE] Now you see if, they've forced the rear door, they've cut the door strap. They're gonna make a cut high on the B post. They made a release cut into the base of the B post. Once they've done, they've completed the rest of the cut they're gonna spread the base of the B post away and the whole side of the vehicle, rear door, B post, front door is going to swing out onto the front door. Handles, at the same time while all this is going on our EMS provider is still providing hands on care to our patient. Our patient is being oxygenated. Primary and secondary surveys have been taken. And the patient has the, has a cervical collar in place. And, and then added [UNKNOWN] immobilization [INAUDIBLE] [MUSIC] [MUSIC] [MUSIC] [INAUDIBLE]. [MUSIC] [MUSIC] [MUSIC] Now once the wire's been cut the entire side of the vehicle is taken away. Now remember always lay any type of vehicle debris that's been cut away from the vehicle. Shining side down, next we're gonna cover up all the sharp edges and we're gonna bring up a long board to remove the patient. They're gonna cover up the sharp edges top and bottom. From the B post there. Okay they're gonna bring up the long spine board, they're gonna assist EMS and transfer the patient over to EMS. This was just to emphasize all of the different players that come to the, come to the motor vehicle crash. The engine crew, the rescue crew, EMS providers. They all work together all at the same time. And yet we're not in each other's way. Hence the reason why we call it rescue real estate. We divided the car up into different sections. So each part of the different teams have their own distinct section to work on so we could work simultaneously. Okay rescuers we just watched our crews walk through rescue real estate. We watched our engine crew arrive, pull a charge line, manage a hazard, such as the battery of the vehicle. We watch the rescue crew prepare to remove the sides of the vehicle or the roof or whatever tool evolution they needed to perform to make a pathway to remove the patient. We watch our EMS provider come in begin patient management for eventual patient removal from the vehicle. I'd like to thank you for watching Training Minutes. I'd also like to thank Holmatro for sponsoring Fire Engineering's Training Minutes. Be safe out there.

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