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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.



[MUSIC] Okay rescuers welcome to training menace my name is Dave Dalrymple. Today's evolution we're gonna talk about something that very seldomly we actually go through. We're gonna talk about patient management at a motor vehicle crash. Well 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 gonna divide the vehicle up into different sections. Who owns what? The engine company is gonna own the front and rear of the vehicle because of hazards, they're gonna look for the battery. Now you can see the IC on scene, he has. A laptop computer with Moditech software. Or Homatro rescuer's guide to safety system 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. [NOISE] Now the IC is gonna talk to the engine crew tell em where the hazards are. This way we've [UNKNOWN] the vehicle. Into, different tasks. This way all the crews can work together at the same time. Kirk is taking care of the battery. The rescue crew is gonna break glass so the EMS provider can make entry into the vehicle, to make access to the patient [SOUND] Now, EMS providers made entry into the vehicle. [SOUND] The engine crew has found the battery. The vehicle is secured. Now 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 in type EMA's providers gonna put oxygen onto the patient. Okay the rescue crew is gonna come in now they've established, we need to make a pathway to get the patient out this [UNKNOWN]. We're gonna come in and do B post tab. We're gonna do a side, complete side removal of the vehicle. So watch the crew as they go through it. [SOUND] [NOISE] Remember rescuers as you're doing any type of work around roof posts. You're gonna pull trim. You gotta make sure you got hard protection in place between the patient, and an EMS provider, and the door. [NOISE] [NOISE]. [SOUND] [NOISE] [NOISE] Now you see they've forced the rear door, they've cut the door strap. They're gonna make a cut high on the B-post. It made a relief 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, it's going to swing out onto the front door [SOUND] At the same time while all this is going on, our EMS provider is still providing hands on care to our patient. A patient is being oxygenated. Primary and secondary surveys have been taken. And a patient has been, has a cervical collar in place. And and then add a, a mobilization plate. [MUSIC] [MUSIC] [SOUND]. [MUSIC] [MUSIC] [SOUND] Now once the wire's been cut, the entire side of the vehicle is taken away. And remember, always lay any type of vehicle debris that's been cut away from the vehicle. Shiny side down. Next we're going to cover up all of the sharp edges. And we're going to bring up a long board to remove the patient. [BLANK_AUDIO] 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 the different players that come to the, come to the motor vehicle crash. The engine crew, the rescue crew, the EMS providers, they'll 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 the hazards 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 two evolution they needed to perform to make a pathway to remove the patient. We watched our EMS provider come in, begin patient management for eventual patient removal from the vehicle. And 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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