Extrication
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Extrication
Vehicle extrication is the process of removing a vehicle from around a person who has been involved in a motor vehicle collision, when conventional means of exit are impossible or inadvisable. A delicate approach is needed to minimize injury to the victim during the extrication. This operation is usually accomplished by using Wheel chock, chocks and bracing for stabilization and powered rescue tools and equipment, including the Hydraulic rescue tools, Jaws of Life. Standards and regulations for organizations can be found in National Fire Protection Association, NFPA 1670 and for individual members in 1006. Operations The basic extrication procedure constitutes, but is not limited to, these six steps: # the protection of the incident scene, to avoid a risk of another collision (marking out the scene with cones or flares (inadvisable if gasoline is leaking), lighting) and of fire (e.g. switching off the ignition, putting vehicle in park, disconnecting the battery, placing absorbin ...
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Kendrick Extrication Device
A Kendrick extrication device (KED) is a device used in extrication of victims of traffic collisions from motor vehicles. Commonly carried on ambulances, a KED is typically used by an emergency medical technician, paramedic, or another first responder. It was originally designed for extrication of race car drivers. Typically used in conjunction with a cervical collar, a KED is a semi-rigid brace that secures the head, neck and torso in an anatomically neutral position. Its use is claimed to reduce the possibility of additional injuries to these regions during extrication, although its value has been questioned, as there is a lack of evidence to support its use. The original KED was designed by Richard Kendrick in 1978. Description Typically there are two head straps, three torso straps, and two legs straps which are used to adequately secure the KED to the victim. Unlike a long spine board or litter, the KED uses a series of wooden or polymer bars in a nylon jacket, allowing the ...
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Hydraulic Rescue Tools
Hydraulic rescue tools, also known as jaws of life, are used by emergency rescue personnel to assist in the extrication of victims involved in vehicle accidents, as well as other rescues in small spaces. These tools include cutters, spreaders, and rams. Such devices were first used in 1963 as a tool to free race car drivers from their vehicles after crashes. History The Hurst Rescue Tool was invented by George Hurst, circa 1961, after he viewed a stock car race accident in which it took workers over an hour to remove an injured driver from his car. Previously rescuers often used circular saws for vehicle extrication, but these suffered from several drawbacks. Saws can create sparks, which could start a fire, create loud sounds, stress the victim(s), and often cut slowly. Alternatively, rescuers could try to pry open the vehicle doors with a crowbar or Halligan bar, but this could compromise the stability of the vehicle, or injure the victims further. In comparison, hydraul ...
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Hydraulic Rescue Tools
Hydraulic rescue tools, also known as jaws of life, are used by emergency rescue personnel to assist in the extrication of victims involved in vehicle accidents, as well as other rescues in small spaces. These tools include cutters, spreaders, and rams. Such devices were first used in 1963 as a tool to free race car drivers from their vehicles after crashes. History The Hurst Rescue Tool was invented by George Hurst, circa 1961, after he viewed a stock car race accident in which it took workers over an hour to remove an injured driver from his car. Previously rescuers often used circular saws for vehicle extrication, but these suffered from several drawbacks. Saws can create sparks, which could start a fire, create loud sounds, stress the victim(s), and often cut slowly. Alternatively, rescuers could try to pry open the vehicle doors with a crowbar or Halligan bar, but this could compromise the stability of the vehicle, or injure the victims further. In comparison, hydraul ...
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Long Spine Board
A spinal board, is a patient handling device used primarily in pre-hospital trauma (medicine), trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers. Historically, backboards were also used in an attempt to "improve the posture" of young people, especially girls. Due to lack of evidence to support long-term use, the practice of keeping people on long boards for prolonged periods of time is decreasing. Extraction uses The spinal backboard was originally designed as a device to vehicle extrication, remove people from a vehicle. After a time people were simply kept on the spine board for transport without evidence supporting this need. Medical uses A spinal board is primarily indicated for judicious use to transport people who may have had a spinal injury, usually due to the mechanism of injury, and the attending team are not a ...
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Technical Rescue
Technical rescue is the use of specialised tools and skills for rescue, including vehicle extrication, confined space rescue, rope rescue, trench rescue, structural collapse rescue, water rescue, and wilderness search and rescue. These often require specialised rescue squads as they exceed the capabilities of conventional fire departments or emergency medical services. In the United States, technical rescues will often have multiple jurisdictions operating together to effect the rescue, and will often use the Incident Command System to manage the incident and resources at the scene. National Fire Protection Association standards NFPA 1006 and NFPA 1670 state that all rescuers must have a minimum of first aid (infection control, bleeding control, shock management) and CPR training to perform any technical rescue operation, including cutting the vehicle itself during an extrication. References * * See also *Rescue squad *911th Engineer Company The 911th Technical Rescue Enginee ...
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Paramedic
A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are paramedics. In some English-speaking countries, there is an official distinction between paramedics and emergency medical technicians (or emergency care assistants), in which paramedics have additional educational requirements and scope of practice. Duties and functions The paramedic role is closely related to other healthcare positions, especially the emergency medical technician, with paramedics often being at a higher grade with more responsibility and autonomy following substantially greater education and training. The primary role of a paramedic is to stabilize people with life-threatening injuries and transport these patients to a higher level of care (typically an emergency department). Due to the nature of their job, paramedics work ...
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Cribbing (rescue)
A box crib or cribbing is a temporary wooden structure used to support heavy objects during construction, relocation, vehicle extrication and urban search and rescue. It is commonly used to secure overturned motor vehicles, and debris within collapsed buildings. Cribbing is often used in conjunction with other stabilization equipment, such as pneumatic or hydraulic shoring. Cribbing is also used in sub-surface mining as a roof support. Cribbing has largely been replaced by hydraulic shoring in modern mining applications. Some forms of cribbing can be used on movie sets and/or production sites for stabilizing dolly tracks, platforms, and various temporary structures when quick setup times are needed. Stability The stability of a crib is affected by a variety of factors: the material used (often a soft wood which gives audible warnings before failure), the number of contact points between the crib and the supported surface, the ratio of the footprint of the crib to its height, ...
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Oscillation
Oscillation is the repetitive or periodic variation, typically in time, of some measure about a central value (often a point of equilibrium) or between two or more different states. Familiar examples of oscillation include a swinging pendulum and alternating current. Oscillations can be used in physics to approximate complex interactions, such as those between atoms. Oscillations occur not only in mechanical systems but also in dynamic systems in virtually every area of science: for example the beating of the human heart (for circulation), business cycles in economics, predator–prey population cycles in ecology, geothermal geysers in geology, vibration of strings in guitar and other string instruments, periodic firing of nerve cells in the brain, and the periodic swelling of Cepheid variable stars in astronomy. The term ''vibration'' is precisely used to describe a mechanical oscillation. Oscillation, especially rapid oscillation, may be an undesirable phenomenon in proc ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use squad cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first resort ...
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Cardiopulmonary Resuscitation
Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. It is recommended in those who are unresponsive with no breathing or abnormal breathing, for example, agonal respirations. CPR involves chest compressions for adults between and deep and at a rate of at least 100 to 120 per minute. The rescuer may also provide artificial ventilation by either exhaling air into the subject's mouth or nose (mouth-to-mouth resuscitation) or using a device that pushes air into the subject's lungs (mechanical ventilation). Current recommendations place emphasis on early and high-quality chest compressions over artificial ventilation; a simplified CPR method involving only chest compressions is recommended for untrained rescuers. Wit ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use squad cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first resort ...
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