Tue, 1 Jul 2008|
Battalion Chief Leigh Hollins of Cedar Hammock (FL) Fire Rescue discusses the special considerations and issues that arise when you're dealing with school bus extrication.
It's. Hello today -- -- -- talk about school bus extra case and rescue. And deal with some of the special challenges that are presented. -- school buses versus regular vehicle extra case and deal with cars and pickup trucks and so forth. Course our number one concern is going to be to safety of our crew responding. As wells arriving at the scene the safety issues would be the -- apparatus. The safety equipment -- personnel and so forth. Upon arrival we want to do a quick size up with a seeing. Determine -- our resource needs might be there may be specialize. Equipment that is required. We may need to be thinking about law -- -- How many -- units how many rescue units as well as school board notification and so forth. Upon arriving at the scene commander control is going to be a very very important issue. Command and control is -- establish how the rest of the scene. Goes storing your education. And rescue procedures there so it's very important that we have a strong ICS system in place. That it has followed. And that -- first arriving units gain control of the scene because like I had mentioned earlier this is not in normal scene you're gonna get a lot of people stopping by. You're gonna get parents stopping by either the -- this school staff and so forth. Will be responding to such an incident in most cases and you're gonna need to deal with that so the way to do that is to have a strong. Command presence. -- the scene and everyone works within the ICS system. The resource as we pretty much are recovered and at all depends on your size up. So that is something that you just gonna need to determine upon arrival exactly what resources. Will be available to you to respond. Next we want to look at the school bus and we want to determine if there are any stabilization. Issues. Normally a school bus is going to be either -- its wheels on its side -- on its roof. And it's going to be a pretty stable situation due to the design of the school bus being flat on those surfaces. However the situation may not be as simple as that appears. Due to the Colbert that the -- may be down into possibly create bad -- -- off an embankment or whatever so we're not gonna assume. That the bus is gonna be on flat ground we're gonna have to assume that we might need to deal with some other issues as for stabilizing the boss. With some tow vehicles war static -- would craving or whatever so that is certainly it. -- consideration. The position that the -- is found in will determine your actions from from that point on. As far as if the boss is on its roof -- on its side or -- its wheels. What we want to do at that point is we want to establish. A rescue court or. And what this rescue -- or is going to be that's going to be a selection of two openings one opening is going to be for. Be the entry into the school bus with rescuers and equipment and a second opening is going to be. How we're gonna leave the bus with equipment rescuers. And the patients so it out as a rescue court ordered -- -- primary objective. Once we deal with saints safety command and control and a basic size up -- of the outside of the scene. The other issue dealing with the responding units and so forth. Would be how many rescuers to put inside the school bus. Now being aggressive most firefighters want to want to be involved in the action and so forth. However it's very important that we don't overload the school bus with rescuers. Probably two maybe three rescuers in the school bus to determine via the initial. Situation what you have is probably going to be fine -- -- -- in the an entire crew at 345. Guys in the school bus. Now one other thing when we can't -- a school bus we have to establish some time they triage system. That we are gonna use to determine what patients need to go nowhere and who -- priority over others. One of those systems is the start triage system which is recognized nationwide. The start triage system is a very quick assessment. Of each patient and that is gonna let us know whether that patient is a low priority your heart priority patient. At that point we also need to us assess inside the school bus. Is there any entanglement -- threatening. Now the difference between the two. Is that. It's -- me it just means that that they -- paste it. Needs help getting an out of that boss that's all that means there are trapped inside the bus and they're just gonna need some help getting out of that bonds. In some fashion it may be because the doors are -- that made me. Because today date there have a hard time do their injuries or whatever. But that is what -- -- and it is. Entitlement is something completely different with -- sacrament you have. Patients on the bus that are actually entangled in something within -- -- and in most cases of course with a school bus. That would be the seats. Other than the -- the -- entitlement hazard would be. If that person's -- arm or or leg or other body part may be trapped underneath the bus but the main. The main situation you may be faced with with entanglement is going to be within the seats of the school bus. With that said we want to look at that situation inside a school bus do a quick triage who want to report to command what we have. Help commanders to establish. What additional resources are needed and so forth. And and the operations section of command will need to determine what his plan a and I certainly advocates having a -- and be ready to go. They plan -- will be okay what our initial steps here we've established the rescue corps to work. And now we need to put into place any actions to help the patients out of the school bus. Or to help them with their entrapment or entanglement hazard there. So when we determine that we need to put that plan into action and that would be such things as removing a -- We're two or possibly three seats depending on the situation. That may involve. Taking to windows. And a window rose to make it larger window what we call it picture window. To remove the person from the boss in that fashion. -- Other more advanced techniques such as cutting through the -- wall. That would be something that would be -- a last resort there are plenty of ways to get people off the school busses without cutting. The side -- the roof of the -- So we certainly have a -- looking at the safest easiest and quickest method. That we can accomplish our goals in a timely manner. With that said there are many other issues dealing -- school buses such as mass casualty -- -- -- -- We have the technical side of it explores the use -- -- tools and so forth. But but overall those are your initial response and -- -- considerations. Watch for future episodes of advanced expectation. -- Holland's thanks a lot.