Vehicle Extrication
Information Covered:
- Safe Vehicle Extrication
- Role of EMS in Vehicle Extrication
- Provide patient care
- Perform simple extrication
- Personal Safety
- Firstpriority for all EMS personnel
- Appropriate personal protective equipment for conditions
- Scene size-up
- Patient Safety
- Keep them informed of your actions
- Protect from further harm
- Situational Safety
- Control traffic flow
- Proper positioning of emergency vehicles
- upwind/uphill
- protect scene
- Use of lights and other warning devices
- Setting up protectivebarrier
- Designate a traffic control person
- Proper positioning of emergency vehicles
- 360-degree assessment
- Downed electrical lines
- Leaking fuels or fluids
- Smoke or fire
- Broken glass
- Trapped or ejected patients
- Mechanism of injury
- Vehicle stabilization
- Put vehicle in “park” or in gear
- Set parking brake
- Turn off vehicle ignition
- Cribbing/Chocking
- Move seats back and roll down windows
- Disconnect battery or power source
- Identify and avoid hazardous vehicle safety components
- seat belt pretensioners
- undeployed air bags
- other
- Unique hazards
- Alternative-fuel vehicles
- Undeployed vehicle safety devices
- HAZMAT
- Evaluate the need for additional resources
- Extrication equipment
- Fire suppression
- Law enforcement
- HAZMAT
- Utility companies
- Air medical
- Others
- Extrication considerations
- Disentanglement of vehiclefrom patient
- Multi-step process
- Rescuer-intensive
- Equipment-intensive
- Time-intensive
- Access to patient
- simple
- try to open doors
- ask patientto unlock doors
- ask patientto lower windows
- complex
- tools
- hand
- pneumatic
- hydraulic
- other
- simple
- Control traffic flow
- Determine Number of Patients (implement local multiple casualty incident protocols if necessary)
- Role of EMS in Vehicle Extrication
- Use of Simple Hand Tools
- Hammer
- Center Punch
- Pry Bar
- Hack Saw
- Come-Along
- Special Considerations for Patient Care
- Removing Patient
- Maintain manual cervical spine stabilization
- Complete primary assessment
- Provide critical interventions
- Assist With Rapid Extrication
- Move Patient, Not Device
- Use Sufficient Personnel
- Use Path of Least Resistance
- Removing Patient
Content Creator: Chris Hunt
CAPCE Course Number: 20-EMTP-F3-4398
NJ Course Number: 141103
Total CE Hours: 1.25
Level: Basic
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.