Chapter 40 Vehicle Extrication and Special Rescue Case Study Your ambulance is dispatched with the fire department for an overturned semitruck on the interstate. Dispatch reports that the truck was possibly carrying hazardous materials. As
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Presentation Transcript
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Chapter 40
Vehicle Extrication and Special Rescue Case Study<br>
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Your ambulance is dispatched with the fire department for an overturned semitruck on the interstate.
Dispatch reports that the truck was possibly carrying hazardous materials.
As you arrive on scene, you note the presence of HazMat placards on the truck. Part 1<br>
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1. Where should the ambulance be positioned?
2. How should traffic control be performed?
3. What is a hazardous material? Part 1<br>
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As you are preparing to park, the fire chief calls you on the radio and tells you to proceed past the incident, and park approximately 500 feet upwind.
As you exit the ambulance, you quickly join up with the chief, who is performing his walk-around and size-up. Part 2<br>
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4. What is the purpose of a 360˚ walk-around?
5. What are some other potential resources that may be required for this incident? Part 2<br>
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You are immediately met by the driver of the vehicle who states that he is uninjured and has no complaints, but his wife is pinned in the truck. You inform him that you would still like to have your partner evaluate him, and you send him to the ambulance for a quick assessment while you make your way to the second patient. Part 3<br>
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You find the second patient still in the passenger’s seat, in no obvious distress. She states that her foot is stuck under the dash and she cannot get it out. Other than that, she is not injured.
You advise her that the fire department is there, and they will work on getting her out. Part 3<br>
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6. What are some common vehicle extrication procedures that may be utilized at accident scenes?
7. What emergency care does this patient require? Part 3<br>
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The fire department quickly extricates the patient from the vehicle and assists you in placing her on the stretcher.
As you wheel her to the ambulance, she repeatedly tells you she is fine and would just like to be with her husband. As you perform a primary assessment, you find no injuries, and following your protocols, obtain a patient refusal. Part 4<br>
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8. For agencies that perform extrication, why is the termination phase typically an involved process? Part 4<br>
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From fast moving traffic on the interstate to unknown hazardous materials, motor vehicle accidents pose a multitude of hazards to the AEMT. Just as medical complaints may vary, so too will the hazards at an accident scene.
Performing a scene size-up will allow you to recognize the potential hazards and determine a strategy to mitigate these hazards. Summary<br>
